Organization
GREATER HEIGHTS ADHC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY GREENWALT (OWNER)
(573) 756-7554
Entity
Organization
Contact information
Practice address
719 MAPLE ST, FARMINGTON, MO 63640-1925
(573) 756-7554
(573) 756-0227
Mailing address
719 MAPLE ST, FARMINGTON, MO 63640-1925
(573) 756-7554
(573) 756-0227
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
724
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852756907
—
MO
Enumeration date
12/27/2007
Last updated
01/11/2011
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