Organization
ROLLING HILLS CREATIVE LIVING, INC
Active
Other names
Gentry County Association for Retarded Citizens, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED D MOLDENHAUER MS (EXECUTIVE DIRECTOR)
(660) 726-4155
Entity
Organization
Contact information
Practice address
2404 ALLEN AVE, BETHANY, MO 64424-1334
(660) 425-7025
Mailing address
106 S SMITH ST, P O BOX 2, ALBANY, MO 64402-1624
(660) 726-4155
(660) 726-4155
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
859884900
—
MO
Enumeration date
03/16/2007
Last updated
08/11/2008
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