Roger a Martin

NPI #1023165008 in Sturgeon, Missouri

Provider Information

NPI Number
1023165008
Entity Type
Organization
Organization Name
Roger a Martin
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 4, 2007
Last Updated
Jun 24, 2008

Practice Location

Address
315 E. STONE ST.
Address 2
PO 328
ZIP Code
65284-0328
Phone
(573) 687-3012

Authorized Official

Name
MR. ROGER ALLEN MARTIN
Title
OWNER
Phone
(573) 687-3012

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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