Granite House Rcf LLC

NPI #1578128971 in Ironton, Missouri

Provider Information

NPI Number: 1578128971
Entity Type: Organization
Organization Name: Granite House Rcf LLC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: May 1, 2019
Last Updated: May 31, 2019

Practice Location

Address: 321 S MAIN ST
City: Ironton
State: Missouri
ZIP Code: 63650-1406
Phone: (573) 546-7283

Authorized Official

Name: ANGELA ECKHOFF
Title: MANAGER
Phone: (573) 701-4414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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