Peaceful Pines Residential Care, Inc.
NPI #1942302005 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1942302005
- Entity Type
- Organization
- Organization Name
- Peaceful Pines Residential Care, Inc.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 614 COUNTY ROAD 466
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-2964
- Phone
- (573) 778-0497
Authorized Official
- Name
- KIMBERLY MENCKOWSKI
- Title
- ADMINISTRATOR
- Phone
- (573) 714-2838
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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