Organization
PRC ENTERPRISES, INC.
Active
Other names
My Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ROSE CAMPBELL (OWNER)
(573) 778-1126
Entity
Organization
Contact information
Practice address
650 VINE ST, POPLAR BLUFF, MO 63901-5039
(573) 778-1126
(573) 785-4887
Mailing address
650 VINE ST, POPLAR BLUFF, MO 63901-5039
(573) 778-1126
(573) 785-4887
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/24/2007
Last updated
09/07/2007
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