Organization
MERAMEC SUNRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL PILOTTE (OWNER)
(573) 364-3638
Entity
Organization
Contact information
Practice address
803 EAST 12TH ST, ROLLA, MO 65401
(573) 364-3638
(573) 364-6842
Mailing address
803 EAST 12TH ST, ROLLA, MO 65401
(573) 364-3638
(573) 364-6842
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
032113
MO
Other
Enumeration date
04/16/2007
Last updated
06/17/2008
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