NPI 1942327143

Lone Pine Residential Care, LLC

Organisation Assisted Living Facility (Mental Illness) Ironton, MO

Practice location

Address: 321 S Main St, Ironton, MO 63650-1406
Phone: (573) 546-7283
Fax: (573) 546-6102
Mailing address: 231 S Main St Suite B, Ironton, MO 63650-1307

Authorised official

Name: Patricia Anderson
Title: Secretary
Phone: (573) 546-1616

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence 031985 (MO)

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Registry record

NPI: 1942327143
Entity type: Organization
NPI issued: 23 Mar 2007
Record last updated: 22 Aug 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.