Organization
STODDARD NO 1 INC
Active
Other names
Ridgeview Assisted Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD B BEDELL (PRESIDENT)
(573) 471-1276
Entity
Organization
Contact information
Practice address
13134 STATE HIGHWAY 25, DEXTER, MO 63841-9740
(573) 624-4433
Mailing address
731 N MAIN ST, SIKESTON, MO 63801-2151
(573) 471-1276
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
044562
MO
Other
Enumeration date
07/28/2016
Last updated
01/03/2017
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