Organization
HILDA FUWELLS RESIDENTIAL CARE
Active
Other names
Adaptive Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA A ALLEN (MGR)
(573) 568-2056
Entity
Organization
Contact information
Practice address
900 S ONE MILE RD, DEXTER, MO 63841
(573) 614-4191
(573) 568-2314
Mailing address
17382 STATE HIGHWAY 25, 900 S ONE MILE RD, DEXTER, MO 63841-9710
(573) 614-4191
(573) 568-2314
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
56249535
MO
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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