NPI | 1114276029 |
---|---|
Doing Business As | ASHLEY'S PLACE ADULT DAY CARE |
Entity Type | Organization |
Authorized Contact | WARREN KEITH REAGAN Owner 573-783-6256 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 1008) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: MO 1008) |
Enumeration Date | 2012-09-06 |
Last Update Date | 2012-09-10 |