Rock Springs Residential, LLC

Organization Active NPI Assisted Living Facility · Cuba, MO

NPI 1740664572 · NPPES record last updated Jul 10, 2015

Key facts

NPI
1740664572
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
ROCK SPRINGS RESIDENTIAL, LLC
Practice address
81 Pilkenton LN
Cuba, MO 65453-8136
Phone
(573) 885-6443
Fax
(573) 885-3620
NPI assigned
Jul 10, 2015
Organization subpart
No

Authorized official

Name
Mr. Tyler Ray Kiersz
Title
Owner/Operator/Manager
Phone
(573) 885-6443

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

81 Pilkenton Ln
Cuba, MO 65453
Phone (573) 885-6443

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MO Yes

Addresses

Primary practice location

81 Pilkenton LN
Cuba, MO 65453-8136

Mailing address

81 Pilkenton LN
Cuba, MO 65453-8136
Phone (573) 885-6443

Other providers in Cuba, MO

All providers in Cuba, MO · Assisted Living Facility in Missouri

Sources for this page

Verify at the official NPI Registry.