Organization
PEACHWOOD MANOR, LLC
Active
Other names
PEACHWOOD MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA DACY (OWNER/MANAGER)
(417) 846-6050
Entity
Organization
Contact information
Practice address
15895 STATE HIGHWAY 76, CASSVILLE, MO 65625-8098
(417) 847-3902
(417) 847-0522
Mailing address
15895 STATE HIGHWAY 76, CASSVILLE, MO 65625-8098
(417) 847-3902
(417) 847-0522
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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