Organization
HULETT ENTERPRISES DBA STOVERS RESIDENTIAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA RAE HULETT (OWNER)
(660) 265-3262
Entity
Organization
Contact information
Practice address
520 E 5TH ST, MILAN, MO 63556-1222
(660) 265-3262
(660) 857-4413
Mailing address
520 E 5TH ST, MILAN, MO 63556-1222
(660) 265-3262
(660) 857-4413
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
033443
MO
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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