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Wagner Residential Care Inc
Assisted Living Facility in Fredericktown, Missouri
NPI 1154673887

Wagner Residential Care Inc is an Assisted Living Facility based in Fredericktown, MO. Wagner Residential Care Inc practices in Fredericktown, MO. The NPI Number for Wagner Residential Care Inc is 1154673887 and holds a License No. 040545 (Missouri).

The current practice location address for Wagner Residential Care Inc is 320 N Chamber Dr, Fredericktown, MO and can be reached out via phone at 573-783-4511 and via fax at 573-783-4513.

Location: 320 N Chamber Dr, Fredericktown, MO, 63645-0320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154673887
Provider Name
Wagner Residential Care Inc
Credential
Provider Entity Type
Organization
Address
320 N Chamber Dr, Fredericktown, MO, 63645-0320
Phone Number
573-783-4511
Fax Number
573-783-4513
Provider Enumeration Date
10/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
320 N Chamber Dr
City
Fredericktown
State
Missouri
Zip
63645-0320
Phone Number
573-783-4511
Fax Number
573-783-4513
person
Provider Business Mailing Address Details
Address
320 N Chamber Dr
City
Fredericktown
State
Missouri
Zip
63645-0320
Phone Number
573-783-4511
Fax Number
573-783-4513
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
040545 (Missouri)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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