Meadowbrook Residential Care
NPI #1619163235 in Pilot Knob, Missouri
Provider Information
- NPI Number
- 1619163235
- Entity Type
- Organization
- Organization Name
- Meadowbrook Residential Care
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 18, 2007
- Last Updated
- Sep 18, 2007
Practice Location
- Address
- 806 W. MULBERRY
- City
- Pilot Knob
- State
- Missouri
- ZIP Code
- 63663-0510
- Phone
- (573) 546-7065
Authorized Official
- Name
- MRS. TONNIE DEAN JACKSON, LNHA
- Title
- ADMINISTRATOR
- Phone
- (573) 546-7065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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