Maple Crest Residential Care Facility
Maple Crest Residential Care Facility is a Mental Illness Community Based Residential Treatment Facility in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2008.
- Licensed in
- MO
- In the registry since
- 2008
Practice location Address checks out
307 N Broadway StPoplar Bluff, MO 63901-5103
Phone: (573) 686-4490
Fax: (573) 686-8817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X (MO) |
|---|
Record details
| NPI number | 1619147428 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Keeney — Owner · (573) 686-4490 |
| NPI enumerated | March 7, 2008 |
| Last updated in NPPES | March 7, 2008 |
| Mailing address | 307 N Broadway St, Poplar Bluff, MO 63901-5103 |