Organization
HILLCREST RESIDENTIAL CARE,
Active
Other names
Hillcrest Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY WORTHLEY (OWNER)
(573) 696-3201
Entity
Organization
Contact information
Practice address
9415 N NORTH BROWNS STATION RD, COLUMBIA, MO 65202-8671
(573) 696-3201
Mailing address
8491 E MOUNT ZION CHURCH RD, HALLSVILLE, MO 65255-9056
(573) 999-0120
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M266721109
—
MO
Enumeration date
10/28/2020
Last updated
10/28/2020
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