Prc Enterprises, Inc.

NPI #1982804324 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1982804324
Entity Type: Organization
Organization Name: Prc Enterprises, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jul 24, 2007
Last Updated: Sep 7, 2007

Practice Location

Address: 650 VINE ST
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-5039
Phone: (573) 778-1126

Authorized Official

Name: MS. PATRICIA ROSE CAMPBELL
Title: OWNER
Phone: (573) 778-1126

Specialties & Taxonomy Codes

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

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