Blankenship Residentail Care Center, LLC

NPI #1083831507 in Palmyra, Missouri

Provider Information

NPI Number: 1083831507
Entity Type: Organization
Organization Name: Blankenship Residentail Care Center, LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 209 LOGAN ST
City: Palmyra
State: Missouri
ZIP Code: 63461-1336
Phone: (573) 769-3933

Authorized Official

Name: MRS. EVELYN L. BLANKENSHIP
Title: OWNER
Phone: (573) 769-3933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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