Organization · Type 2 NPI

Poplar Bluff Residential, LLC

Assisted Living Facility · Poplar Bluff, MO

NPI number 1780630061 Active

Practice location

2050 W Maud St
Poplar Bluff, MO 63901-4000

Call (573) 686-2833 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

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.

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About NPI 1780630061

Poplar Bluff Residential, LLC's National Provider Identifier is 1780630061, issued on May 26, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Feb 2, 2026.