Organization
ELM PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBEKAH ELLEN BURKE (ADMINISTRATOR)
(660) 815-7198
Entity
Organization
Contact information
Practice address
101 S ELM ST, SWEET SPRINGS, MO 65351-1201
(660) 815-7198
Mailing address
101 S ELM ST, SWEET SPRINGS, MO 65351-1201
(660) 815-7198
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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