Organization
IRONTON RESIDENTIAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN EILEEN VEACH (OWNER)
(573) 330-3760
Entity
Organization
Contact information
Practice address
101 S KNOB ST, IRONTON, MO 63650-1501
(573) 546-3080
Mailing address
PO BOX 272, FARMINGTON, MO 63640-0272
(573) 330-3760
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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