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VICKY L WINICK

Assisted Living, Mental Illness

Farmington, Missouri

Provider NPI: 1285766113

Organization Information:
Organization Name:  VICKY L WINICK


Practice Location:
5858 BUSIEK RD  FARMINGTON, MO 63640 US
Tel: 573-756-2426  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
MO031232

Other Provider Identifiers:

IssuerNumberStateType
267915304MO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS MO - Page 1



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