Organization
ANNS PLACE
Active
Parent organization
PEACH RESIDENTIAL CARE FACILITY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACH RESIDENTIAL CARE FACILITY INC
Authorized official
CYNTHIA ANN JOHNSON (OWNER)
(573) 518-0444
Entity
Organization
Contact information
Practice address
351 KEITH STREET, PARK HILLS, MO 63601
(573) 518-0444
(573) 438-7230
Mailing address
P.O. BOX 481, PARK HILLS, MO 63601
(573) 518-0444
(573) 438-7230
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
042283
MO
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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