Organization
FERNDALE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET L. DOUGLAS (ADMINISTRATOR)
(573) 265-3344
Entity
Organization
Contact information
Practice address
15650 COUNTY ROAD 2430, SAINT JAMES, MO 65559-8210
(573) 265-3344
(573) 265-1119
Mailing address
15650 COUNTY ROAD 2430, SAINT JAMES, MO 65559-8210
(573) 265-3344
(573) 265-1119
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
17899078
MO
Other
Enumeration date
01/08/2007
Last updated
06/16/2008
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