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Organization

RIPLEY COUNTY COLONIAL HOME, INC

Active
Other names
Colonial Home Care Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT WADE ADAMS (ADMINISTRATOR)
(573) 996-3328
Entity
Organization

Contact information

Practice address
102 E SUMMIT ST, DONIPHAN, MO 63935-1328
(573) 996-3328
(573) 996-7274
Mailing address
102 E SUMMIT ST, DONIPHAN, MO 63935-1328
(573) 996-3328
(573) 996-7274

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1144341181
MO
05
1508987546
MO
05
1871613174
MO
05
288016900
MO
Enumeration date
08/24/2016
Last updated
08/24/2016
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