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Organization

POGUES ENHANCED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY POGUE (OWNER)
(573) 686-5219
Entity
Organization

Contact information

Practice address
5031 LINWOOD DR, POPLAR BLUFF, MO 63901
(573) 686-5219
Mailing address
5031 LINWOOD DR, POPLAR BLUFF, MO 63901
(573) 686-5219

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
03/09/2007
Last updated
09/11/2025
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