| NPI | 1093903981 |
|---|---|
| Doing Business As | LONGBLUM RETIREMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | TAMMY HARTEGAN Secretary 573-682-5744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 034513) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |