Whalio Doctors

NPI 1083831507

Blankenship Residentail Care Center, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Palmyra, MO

Practice location

Address
209 Logan St, Palmyra, MO 63461-1336
Phone
(573) 769-3933

Authorised official

Name
Evelyn L. Blankenship
Title
Owner
Phone
(573) 769-3933

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 2613-8952 (MO)

Registry record

NPI
1083831507
Entity type
Organization
NPI issued
18 Apr 2007
Record last updated
22 Aug 2020

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.