NPI 1861945552

Stoddard No 1 INC

Organisation Assisted Living Facility Dexter, MO

Practice location

Address: 13134 State Highway 25, Dexter, MO 63841-9740
Phone: (573) 624-4433
Mailing address: 731 N Main St, Sikeston, MO 63801-2151

Authorised official

Name: Donald B Bedell
Title: President
Phone: (573) 471-1276

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 044562 (MO)

Other Assisted Living Facility providers in Missouri →

Registry record

NPI: 1861945552
Entity type: Organization
NPI issued: 28 Jul 2016
Record last updated: 3 Jan 2017

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.