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Organization

CARRIAGE RESIDENTIAL CARE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KAREN E. VEACH (OWNER)
(573) 330-3760
Entity
Organization

Contact information

Practice address
508 N WASHINGTON ST, FARMINGTON, MO 63640-1756
(573) 330-3760
Mailing address
PO BOX 272, FARMINGTON, MO 63640-0272
(573) 330-3760

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Enumeration date
05/23/2019
Last updated
05/23/2019
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