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
- City
- Farmington
- State
- Missouri
- 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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