Organization
ESSEX RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE ALTON ELLIOTT (ADMINISTRATOR)
(573) 471-5503
Entity
Organization
Contact information
Practice address
24898 STATE HIGHWAY AB, ESSEX, MO 63846-8167
(573) 568-5622
Mailing address
24898 STATE HIGHWAY AB, ESSEX, MO 63846-8167
(573) 568-5622
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
07/24/2007
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