NPI 1003178740

Reliant Care Rehabilitative Service

Organisation Assisted Living Facility (Behavioral Disturbances) Hannibal, MO

Practice location

Address: 1734 Market St, Hannibal, MO 63401-4025
Phone: (573) 629-0321

Authorised official

Name: Darryl Raynor Jackson
Title: Cota/L
Phone: (573) 629-0321

Registered specialties

Assisted Living Facility (Behavioral Disturbances) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0630X Licence 201000472 (MO)

Other Assisted Living Facility providers in Missouri →

Registry record

NPI: 1003178740
Entity type: Organization
NPI issued: 8 Jun 2012
Record last updated: 8 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.