| NPI | 1942423678 |
|---|---|
| Other Name | PATRICIA RIDEOUT |
| Entity Type | Organization |
| Authorized Contact | PATRICIA RIDEOUT Administrator 573-996-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2025-09-11 |