NPI 1366053480

Green Acres Assisted Living LLC

Organisation Assisted Living Facility Sikeston, MO

Practice location

Address: 411 N Kings Highway, Sikeston, MO 63801-1936
Phone: (573) 471-0466
Fax: (573) 471-4918
Mailing address: 1515 E Malone Ave, Sikeston, MO 63801-3413

Authorised official

Name: Terry Cole
Title: Owner
Phone: (573) 471-0466

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1366053480
Entity type: Organization
NPI issued: 12 Aug 2020
Record last updated: 8 Oct 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.