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Organization

BROOK CHERITH ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LONNIE KALLMEYER (OWNER)
(660) 277-4439
Entity
Organization

Contact information

Practice address
104 E ELM ST, HUNTSVILLE, MO 65259-1111
(660) 277-4439
(660) 277-3526
Mailing address
104 E ELM ST, HUNTSVILLE, MO 65259-1111
(660) 277-4439
(660) 277-3526

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
039457
MO

Other

Enumeration date
01/27/2011
Last updated
12/28/2011
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