Organization
PROVERB ACADEMY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELDRIGE DALE WORLEY (ADMINISTRATOR)
(573) 614-4318
Entity
Organization
Contact information
Practice address
420 CARROLL ST, MOREHOUSE, MO 63868
(573) 667-0063
(573) 614-4429
Mailing address
PO BOX 938, DEXTER, MO 63841-0938
(573) 614-4318
(573) 614-4429
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
002422631
MO
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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