PEACH WOOD MANOR RCF NPI 1548394166

NPI Information

  • NPI: 1548394166
  • Provider Name: PEACH WOOD MANOR RCF
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Former Legal Business Name: PEACH WOOD MANOR
  • Address: HIGHWAY 12
    CASSVILLE, MO
    ZIP 65625
  • Phone: (417) 847-3902

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NPI Details

PEACH WOOD MANOR RCF is an adult care home custodial care facility in Cassville, MO. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. PEACH WOOD MANOR RCF NPI is 1548394166. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Peach Wood Manor.

The provider's business location address is:

HIGHWAY 12
CASSVILLE, MO
ZIP 65625
Phone: (417) 847-3902
Fax: (417) 847-0052

The provider's authorized official is Lynda Gail Dacy .
The authorized official title is Co-owner and has the following contact phone number (417) 847-3902.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 7/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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