Organization
ELSINORE CONSTRUCTION & REMODELING LLC
Active
Organization
ELSINORE CONSTRUCTION & REMODELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SCOTT DICUS (OWNER)
(314) 280-8776
Entity
Organization
Contact information
Practice address
28461 SUNNYSIDE RD, WARRENTON, MO 63383-6628
(314) 280-8776
Mailing address
28461 SUNNYSIDE RD, WARRENTON, MO 63383-6628
(314) 280-8776
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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