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RIDGEWAY RESIDENTIAL CARE

Assisted Living, Behavioral Disturbances

Sullivan, Missouri

Provider NPI: 1033288899

Organization Information:
Organization Name:  RIDGEWAY RESIDENTIAL CARE


Practice Location:
431 RUSSELL RD  SULLIVAN, MO 63080 US
Tel: 314-608-5918  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0630XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Behavioral Disturbances

Other Provider Identifiers:

IssuerNumberStateType
267903607MO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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