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Organization

BRIDGE OF HOPE

Active
Parent organization
FAITH FOUNDATION CHILDRENS HOME
Other names
Faith Foundation Childrens Home
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAITH FOUNDATION CHILDRENS HOME
Authorized official
LINDA DECLUE (MANAGER)
(573) 438-3733
Entity
Organization

Contact information

Practice address
400 N WASHINGTON ST, FARMINGTON, MO 63640-1716
(573) 438-3733
(573) 438-0046
Mailing address
400 N WASHINGTON, POTOSI, MISSOURI 63664
(573) 438-3733

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
30402638
MO

Other

Enumeration date
11/04/2016
Last updated
11/04/2016
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