Elm Place LLC

NPI #1902098825 in Sweet Springs, Missouri

Provider Information

NPI Number
1902098825
Entity Type
Organization
Organization Name
Elm Place LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 14, 2007
Last Updated
Aug 14, 2007

Practice Location

Address
101 S ELM ST
ZIP Code
65351-1201
Phone
(660) 815-7198

Authorized Official

Name
MRS. REBEKAH ELLEN BURKE
Title
ADMINISTRATOR
Phone
(660) 815-7198

Specialties & Taxonomy Codes

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

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