Jefferson City Residential, LLC
NPI #1164792917 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1164792917
- Entity Type
- Organization
- Organization Name
- Jefferson City Residential, LLC
- Primary Specialty
- Alzheimer Center (Dementia Center)
- Enumeration Date
- Jan 11, 2012
- Last Updated
- Feb 2, 2026
Practice Location
- Address
- 3409 N TEN MILE DR
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65109-0530
- Phone
- (573) 471-1113
Authorized Official
- Name
- KYLE TIMOTHY SCHADE
- Title
- MANAGER
- Phone
- (573) 471-1113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
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