RIVERWAYS SUPPORT SERVICES
Adult Care Home
West Plains, Missouri
Provider NPI: 1639338759
Organization Information:Organization Name: RIVERWAYS SUPPORT SERVICES
Practice Location:
114 E MAIN ST WEST PLAINS, MO 65775 US
Tel: 417-256-0191 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
114 E MAIN ST WEST PLAINS, MO 65775 US
Tel: 417-256-0191 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | MO | 294954102 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
294954102 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin