Hilda Fuwell'S Residential Care LLC

Organization Active NPI Adult Day Care Clinic/Center · Dexter, MO

NPI 1992028112 · NPPES record last updated Mar 2, 2010

Key facts

NPI
1992028112
Entity type
Organization (NPI type 2)
Primary specialty
Adult Day Care Clinic/Center 261QA0600X
Legal business name
HILDA FUWELL'S RESIDENTIAL CARE LLC
Practice address
900 South One Mile Road
Dexter, MO 63841
Phone
(573) 614-4191
Fax
(573) 568-2314
NPI assigned
Mar 2, 2010
Organization subpart
No

Authorized official

Name
Teresa A Allen
Title
Owner
Phone
(573) 568-2056

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Adaptive Services (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Yes
Developmental Disabilities Clinic/Center 261QD1600X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

900 South One Mile Road
Dexter, MO 63841

Mailing address

17382 State Highway 25
Dexter, MO 63841-9710
Phone (573) 568-2056

Other names

  • Adaptive Services Doing business as

Other providers in Dexter, MO

All providers in Dexter, MO · Adult Day Care Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.