Organization
PREMIER RESIDENTIAL CARE LLC
Active
Organization
PREMIER RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULINE S GUNTER (OWNER/MANAGER)
(417) 257-4217
Entity
Organization
Contact information
Practice address
109 E CROWDER ROAD, TRENTON, MO 64683
(660) 359-4292
(660) 359-3998
Mailing address
109 E CROWDER ROAD, TRENTON, MO 64683
(660) 359-4292
(660) 359-3998
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
034624
MO
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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