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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
MO294954102

Other Provider Identifiers:

IssuerNumberStateType
294954102MO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS MO - Page 1



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