The Jody House

NPI #1639213176 in Rolla, Missouri

Provider Information

NPI Number: 1639213176
Entity Type: Organization
Organization Name: The Jody House
Primary Specialty: Contractor
Enumeration Date: Feb 17, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 603 N WALNUT ST
City: Rolla
State: Missouri
ZIP Code: 65401-3356
Phone: (573) 364-1589

Authorized Official

Name: MRS. RUTH LEE RUCK
Title: ADMINISTRATOR
Phone: (573) 578-2979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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