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Organization

CROSSTREE HAMPTON HOUSE LLC

Active
Other names
Hampton House Residential Care Facility
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT COLE (MANAGER)
(573) 217-8669
Entity
Organization

Contact information

Practice address
201 N DECATUR ST, MALDEN, MO 63863-2017
(573) 276-6054
(573) 276-5928
Mailing address
1287 W NORTH ST, PIGGOTT, AR 72454-1010
(573) 217-8669

Taxonomy

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

Other

Enumeration date
08/24/2023
Last updated
08/24/2023
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