Organization
RAVENWOOD RESIDENTIAL, LLC
Active
Other names
Ravenwood Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE TIMOTHY SCHADE (MANAGER)
(573) 471-1113
Entity
Organization
Contact information
Practice address
1950 E REPUBLIC RD, SPRINGFIELD, MO 65804-6763
(417) 890-6000
Mailing address
1950 E REPUBLIC RD, SPRINGFIELD, MO 65804-6763
(417) 890-6000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
02/05/2026
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