Organization
HARD KNOCKS LLC
Active
Other names
pine valley rcf
Organization subpart
Yes
Provider details
NPI number
Authorized official
ROBERT MAKLER (OWNER)
(573) 760-8601
Entity
Organization
Contact information
Practice address
3381 1ST ST, DOE RUN, MO 63637-3155
(573) 760-8601
Mailing address
614 WALMART DR STE 108, FARMINGTON, MO 63640-3315
(314) 479-7516
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
EL-0996-INIT
MO
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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