Organization
GRANITE HOUSE RCF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ECKHOFF (MANAGER)
(573) 701-4414
Entity
Organization
Contact information
Practice address
321 S MAIN ST, IRONTON, MO 63650-1406
(573) 546-7283
Mailing address
PO BOX 6, IRONTON, MO 63650-0006
(573) 546-7283
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/31/2019
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