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Paradise Group Home Llc
Point of Service in Risco, Missouri
NPI 1497210629

Paradise Group Home Llc is a Point of Service based in Sikeston, MO. Paradise Group Home Llc practices in Risco, MO. The NPI Number for Paradise Group Home Llc is 1497210629 and holds a License No. (Missouri).

The current practice location address for Paradise Group Home Llc is 121 Front Street, Risco, MO and can be reached out via phone at 573-394-5020 and via fax at 573-394-5022.

Location: 121 Front Street, Risco, MO, 63801-5233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497210629
Provider Name
Paradise Group Home Llc
Credential
Provider Entity Type
Organization
Address
121 Front Street, Risco, MO, 63801-5233
Phone Number
573-394-5020
Fax Number
573-394-5022
Provider Enumeration Date
02/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121 Front Street
City
Risco
State
Missouri
Zip
63874
Phone Number
573-394-5020
Fax Number
573-394-5022
person
Provider Business Mailing Address Details
Address
121 Front Street
City
Risco
State
Missouri
Zip
63874
Phone Number
573-394-5020
Fax Number
573-394-5022
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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