Organization
EASTWOOD ACRES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA ANN WEBER (OWNER PROVIDER)
(660) 886-4113
Entity
Organization
Contact information
Practice address
855 EAST EASTWOOD, MARSHALL, MO 65340-1541
(660) 886-4113
(660) 886-4113
Mailing address
PO BOX 606, 855 E EASTWOOD, MARSHALL, MO 65340-1541
(660) 886-4113
(660) 886-4113
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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