Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wagner Residential Care Inc

Organization Assisted Living Facility · NPI 1154673887

Wagner Residential Care Inc is an Assisted Living Facility in Fredericktown, Missouri. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

320 N Chamber Dr
Fredericktown, MO 63645-0320
Phone: (573) 783-4511
Fax: (573) 783-4513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 040545 (MO)

Record details

NPI number1154673887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teena Wagner — Owner/Manager · (573) 783-4511
NPI enumeratedOctober 4, 2012
Last updated in NPPESApril 4, 2016
Mailing address320 N Chamber Dr, Fredericktown, MO 63645-0320

Other providers in Fredericktown