Organization
FAIR GROVE R-X
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET REEVES (BUSINESS MANAGER)
(417) 759-2233
Entity
Organization
Contact information
Practice address
132 N MAIN ST, FAIR GROVE, MO 65648-8436
(417) 759-2233
(417) 759-7150
Mailing address
132 N MAIN ST, FAIR GROVE, MO 65648-8436
(417) 759-2233
(417) 759-7150
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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