Organization
PALLADIAN SENIOR CARE OF POPLAR BLUFF LLC.
Active
Other names
Oakdale Care Center RCF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JASON MILLS (CFO)
(314) 317-2003
Entity
Organization
Contact information
Practice address
2704 DEBBIE LN, POPLAR BLUFF, MO 63901-2650
(573) 686-5242
Mailing address
500 NW PLAZA DR STE 712, SAINT ANN, MO 63074-2222
(314) 317-2003
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
031624
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266774124
—
MO
Enumeration date
11/17/2006
Last updated
06/04/2021
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