Elsinore Construction & Remodeling LLC

NPI #1740612290 in Warrenton, Missouri

Provider Information

NPI Number: 1740612290
Entity Type: Organization
Organization Name: Elsinore Construction & Remodeling LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 7, 2013
Last Updated: Aug 7, 2013

Practice Location

Address: 28461 SUNNYSIDE RD
City: Warrenton
State: Missouri
ZIP Code: 63383-6628
Phone: (314) 280-8776

Authorized Official

Name: MR. RICHARD SCOTT DICUS
Title: OWNER
Phone: (314) 280-8776

Specialties & Taxonomy Codes

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

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