Organization
WHISPERING OAKS RCF II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA KAYE KEENEY RN (OWNER)
(573) 686-4490
Entity
Organization
Contact information
Practice address
203 N B ST, POPLAR BLUFF, MO 63901-5413
(573) 686-4490
(573) 686-8817
Mailing address
203 N B ST, POPLAR BLUFF, MO 63901-5413
(576) 686-4490
(573) 686-8817
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
033447
MO
310400000X
Assisted Living Facility
035142
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619147428
NPI
MO
05
—
266745801
—
MO
05
—
266768803
—
MO
Enumeration date
07/17/2008
Last updated
07/17/2008
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