NPI 1528204955

Southern Graces

Organisation Adult Care Home Facility Piedmont, MO

Practice location

Address: 220 Eckles St, Piedmont, MO 63957-1012
Phone: (573) 223-4689
Fax: (573) 223-4689

Authorised official

Name: Candace Rae Stearns
Title: Owner/ Operator
Phone: (573) 223-4689

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 311ZA0620X (MO)

Other Custodial Care Facility providers in Missouri →

Registry record

NPI: 1528204955
Entity type: Organization
NPI issued: 7 Jan 2009
Record last updated: 7 Jan 2009

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.