PARADISE GROUP HOME LLC

RISCO, MO
NPI1497210629
Entity TypeOrganization
Authorized ContactJERRILYN DIANE ADKISSON
Owner
573-471-3770
Organization Subpart ?No
Primary Taxonomy305S00000X Point of Service
Enumeration Date2019-02-01
Last Update Date2019-02-01
Business Address
PARADISE GROUP HOME LLC
121 FRONT STREET
RISCO, MO 63874
Phone number: 573-394-5020
Mailing Address
PARADISE GROUP HOME LLC
208 N INGRAM RD
SIKESTON, MO 63801-5233
Phone number: 573-471-3770