NPI 1033704754

The Shade Tree LLC

Organisation Custodial Care Facility Marshall, MO

Practice location

Address: 1325 S Highland CT, Marshall, MO 65340-3058
Phone: (636) 358-1889
Mailing address: PO Box 4, Arrow Rock, MO 65320-0004

Authorised official

Name: Kahla Burge
Title: Owner
Phone: (636) 358-1889

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

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Registry record

NPI: 1033704754
Entity type: Organization
NPI issued: 4 Mar 2021
Record last updated: 4 Mar 2021

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.