Gustave Epple

NPI #1215352273 in Jefferson City, Missouri

Provider Information

NPI Number: 1215352273
Entity Type: Individual
Name: Gustave Epple
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 28, 2014
Last Updated: Feb 28, 2014

Practice Location

Address: 1212 SATINWOOD DR
City: Jefferson City
State: Missouri
ZIP Code: 65109-1938
Phone: (573) 619-4131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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