Tlc Sutter Home

NPI #1487892253 in Palmyra, Missouri

Provider Information

NPI Number: 1487892253
Entity Type: Organization
Organization Name: Tlc Sutter Home
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 31, 2009
Last Updated: Jan 31, 2009

Practice Location

Address: 209 LOGAN ST
City: Palmyra
State: Missouri
ZIP Code: 63461-1336
Phone: (573) 769-7380

Authorized Official

Name: MRS. LISA KRISTINE SUTTER
Title: ADMINISTRATER
Phone: (573) 769-2640

Specialties & Taxonomy Codes

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

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Provider Name	Specialty	City
MRS. Penelope Lois Knochel	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Palmyra	AI Deep Dive
MRS. Lisa Kristine Sutter	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Palmyra	AI Deep Dive

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Blankenship Residentail Care Center, LLC	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Palmyra	AI Deep Dive
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Teresa K Parker	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Columbia	AI Deep Dive

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