Organization
ROLLING HILLS CREATIVE LIVING, INC
Active
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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