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Organization

POPLAR BLUFF RESIDENTIAL, LLC

Active
Other names
River Mist Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE TIMOTHY SCHADE (MANAGER)
(573) 471-1113
Entity
Organization

Contact information

Practice address
2050 W MAUD ST, POPLAR BLUFF, MO 63901-4000
(573) 686-2833
Mailing address
2050 W MAUD ST, POPLAR BLUFF, MO 63901-4000
(573) 686-2833

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
05/26/2006
Last updated
02/02/2026
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