Organization
ROCK SPRINGS RESIDENTIAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER RAY KIERSZ (OWNER/OPERATOR/MANAGER)
(573) 885-6443
Entity
Organization
Contact information
Practice address
81 PILKENTON LN, CUBA, MO 65453-8136
(573) 885-6443
(573) 885-3620
Mailing address
81 PILKENTON LN, CUBA, MO 65453-8136
(573) 885-6443
(573) 885-3620
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MO
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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