Organization
BETH GILMORE DBA NEW FOUNDATIONS OF LIVING
Active
Organization
BETH GILMORE DBA NEW FOUNDATIONS OF LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH ANN GILMORE (ADMINISTRATOR)
(573) 300-9079
Entity
Organization
Contact information
Practice address
191 HAMPTON CT, POPLAR BLUFF, MO 63901-6707
(573) 300-9079
Mailing address
191 HAMPTON CT, POPLAR BLUFF, MO 63901-6707
(573) 300-9079
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856324504
—
MO
Enumeration date
07/13/2007
Last updated
06/17/2008
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