Organization
T. J. SWIFT HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W SWIFT (OWNER)
(417) 778-7735
Entity
Organization
Contact information
Practice address
# 10 COURT SQUARE, ALTON, MO 65606
(417) 778-7735
(417) 778-6880
Mailing address
P.O. BOX 218, ALTON, MO 65606
(417) 778-7735
(417) 778-6880
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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