NPI 1578128971

Granite House Rcf LLC

Organisation Assisted Living Facility (Mental Illness) Ironton, MO

Practice location

Address: 321 S Main St, Ironton, MO 63650-1406
Phone: (573) 546-7283
Mailing address: PO Box 6, Ironton, MO 63650-0006

Authorised official

Name: Angela Eckhoff
Title: Manager
Phone: (573) 701-4414

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X

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Registry record

NPI: 1578128971
Entity type: Organization
NPI issued: 1 May 2019
Record last updated: 31 May 2019

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.