STODDARD NO 1 INC NPI 1861945552

NPI Information

STODDARD NO 1 INC is an assisted living facility in Dexter, MO. The provider is 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. STODDARD NO 1 INC NPI is 1861945552. The provider is registered as an organization entity type.
The provider Is Doing Business As Ridgeview Assisted Living Center.

The provider's business location address is:

13134 STATE HIGHWAY 25
DEXTER, MO
ZIP 63841-740
Phone: (573) 624-4433

The provider's authorized official is Donald B Bedell .
The authorized official title is President and has the following contact phone number (573) 471-1276.

The CLIA number assigned to this NPI record is 26D2127433 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2016 and was last updated on 1/3/2017.

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:

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