Organization
RUSSELL FAMILY CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDE RUSSELL (DIRECTOR)
(573) 854-4371
Entity
Organization
Contact information
Practice address
510 E 2ND ST, ANNAPOLIS, MO 63620-9104
(573) 854-4371
Mailing address
PO BOX 176, LESTERVILLE, MO 63654-0176
(573) 854-4371
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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