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Organization

PEARLS RESIDENTIAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JUDY C BAGLEY (ADMINISTRATOR)
(660) 748-4407
Entity
Organization

Contact information

Practice address
308 S BROADWAY ST, PRINCETON, MO 64673-1111
(660) 748-3307
(660) 748-3307
Mailing address
308 S BROADWAY ST, PRINCETON, MO 64673-1111
(660) 748-3307
(660) 748-3307

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
043058
MO

Other

Enumeration date
11/16/2006
Last updated
11/16/2015
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