Cedargate Health Care Center, L.l.c.
NPI #1124918115 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1124918115
- Entity Type
- Organization
- Organization Name
- Cedargate Health Care Center, L.l.c.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 9, 2025
- Last Updated
- Jul 9, 2025
Practice Location
- Address
- 2350 KANELL BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-4036
- Phone
- (573) 785-0188
Authorized Official
- Name
- RICHARD J. DESTEFANE
- Title
- PRESIDENT
- Phone
- (314) 543-3816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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