Green Acres Residential Care Facility, LLC

NPI #1861868135 in Farmington, Missouri

Provider Information

NPI Number
1861868135
Entity Type
Organization
Organization Name
Green Acres Residential Care Facility, LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 20, 2015
Last Updated
Aug 20, 2015

Practice Location

Address
3688 SAND CREEK RD
ZIP Code
63640-7350
Phone
(573) 756-2917

Authorized Official

Name
HOLLY GREEN
Title
OWNER
Phone
(573) 756-2917

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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