Organization
HILDA FUWELL'S RESIDENTIAL CARE LLC
Active
Other names
Adaptive Services
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA A ALLEN (OWNER)
(573) 568-2056
Entity
Organization
Contact information
Practice address
900 SOUTH ONE MILE ROAD, DEXTER, MO 63841
(573) 614-4191
(573) 568-2314
Mailing address
17382 STATE HIGHWAY 25, DEXTER, MO 63841-9710
(573) 568-2056
(573) 568-2314
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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