26D0717780 CLIA NUMBER - HIGHLAND CREST ASSISTED LIVING BY AMERICARE

Laboratory Demographics

CLIA Number: 26D0717780

Facility Name: HIGHLAND CREST ASSISTED LIVING BY AMERICARE

Facility Address:
2204 S HALLIBURTON ST
KIRKSVILLE, MO
ZIP 63501
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Facility Phone Number: 660 627-8004

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1215984810

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	26D0717780
LAB Type	Assisted Living Facility
Facility Name	HIGHLAND CREST ASSISTED LIVING BY AMERICARE
Street	2204 S HALLIBURTON ST
City	KIRKSVILLE
State	MO
ZIP	63501
Phone	660 627-8004
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024