NPI 1780280958

Big Prairie Assisted Living, LLC

Organisation Assisted Living Facility Sikeston, MO

Practice location

Address: 411 North Kingshighway, Sikeston, MO 63801
Phone: (573) 471-5505
Mailing address: PO Box 456, Parma, MO 63870-0456

Authorised official

Name: Bobbie Denise Young
Title: Director of Operations
Phone: (573) 683-1355

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1780280958
Entity type: Organization
NPI issued: 11 Dec 2020
Record last updated: 11 Dec 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.