Organization
BIG PRAIRIE ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE DENISE YOUNG RN, BSN (DIRECTOR OF OPERATIONS)
(573) 683-1355
Entity
Organization
Contact information
Practice address
411 NORTH KINGSHIGHWAY, SIKESTON, MO 63801
(573) 471-5505
Mailing address
PO BOX 456, PARMA, MO 63870-0456
(573) 683-1355
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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