Organization
MEADOWBROOK RESIDENTIAL CARE
Active
Organization
MEADOWBROOK RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONNIE DEAN JACKSON LNHA (ADMINISTRATOR)
(573) 546-7065
Entity
Organization
Contact information
Practice address
806 W. MULBERRY, PILOT KNOB, MO 63663-0510
(573) 546-7065
(573) 546-6355
Mailing address
806 W. MULBERRY STREET, PILOT KNOB, MO 63663-0510
(573) 546-7065
(573) 546-6355
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
032309
MO
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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