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Organization

PERSONAL CARE SERVICES INC.

Active
Other names
Summer House
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL J HOLTSCHLAG (PRESIDENT)
(217) 430-5628
Entity
Organization

Contact information

Practice address
3325 GHOST HOLLOW RD, QUINCY, IL 62305-8560
(217) 430-5628
Mailing address
401 WEST SUMMER STREET, MONROE CITY, MO 63456-1316
(217) 430-5628

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
852691419
MO
Enumeration date
04/06/2007
Last updated
03/24/2017
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