Organization
AMBROSE PARK RESIDENTIAL CARE FACILITY
Active
Organization
AMBROSE PARK RESIDENTIAL CARE FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REXANNA KAY KREISEL R.N. (OWNER)
(660) 668-3140
Entity
Organization
Contact information
Practice address
517 NORTH OAK STREET, COLE CAMP, MO 65325
(660) 668-3140
(660) 668-0108
Mailing address
PO BOX 252, COLE CAMP, MO 65325-0252
(660) 668-3140
(660) 668-0108
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
037166
MO
Other
Enumeration date
07/27/2009
Last updated
07/30/2009
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