Organization · Type 2 NPI
Ambrose Park Residential Care Facility
Assisted Living Facility · Cole Camp, MO
NPI number
1962633818
Active
Practice location
517 North Oak Street
Cole Camp, MO 65325
Fax (660) 668-0108
Mailing address
PO Box 252
Cole Camp, MO 65325-0252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 037166 (MO) |
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.
About NPI 1962633818
Ambrose Park Residential Care Facility's National Provider Identifier is 1962633818, issued on Jul 27, 2009. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Cole Camp, MO. The record was last updated on Jul 30, 2009.