Organization
ROCKY RIVER RESORT, INC.
Active
Other names
PREFERRED HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
DANA M SIEGLER (BILLING ADMINSTRATOR)
(573) 996-3788
Entity
Organization
Contact information
Practice address
109 SMITH DR, DONIPHAN, MO 63935-1031
(573) 996-3788
(573) 996-7870
Mailing address
109 SMITH DR, DONIPHAN, MO 63935-1031
(573) 996-3788
(573) 996-7870
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149331752
—
AR
05
—
149332757
—
AR
05
—
176942765
—
AR
05
—
263809105
—
MO
05
—
283809101
—
MO
Enumeration date
02/07/2007
Last updated
08/20/2009
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