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Pulaski Country Group Home
Respite Care in Crocker, Missouri
NPI 1790806545

Pulaski Country Group Home is a Respite Care based in Crocker, MO. Pulaski Country Group Home practices in Crocker, MO. The NPI Number for Pulaski Country Group Home is 1790806545 and holds a License No. (Missouri).

The current practice location address for Pulaski Country Group Home is 307 Keeth Road, Crocker, MO and can be reached out via phone at 573-736-5603 and via fax at 573-736-2771.

Location: 307 Keeth Road, Crocker, MO, 65452-0662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790806545
Provider Name
Pulaski Country Group Home
Credential
Provider Entity Type
Organization
Address
307 Keeth Road, Crocker, MO, 65452-0662
Phone Number
573-736-5603
Fax Number
573-736-2771
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
307 Keeth Road
City
Crocker
State
Missouri
Zip
65452
Phone Number
573-736-5603
Fax Number
573-736-2771
person
Provider Business Mailing Address Details
Address
307 Keeth Road
City
Crocker
State
Missouri
Zip
65452
Phone Number
573-736-5603
Fax Number
573-736-2771
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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