MS. Jeannie Gloria Dake
MS. Jeannie Gloria Dake is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rolla, Missouri. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1101 Strobach StRolla, MO 65401-4243
Phone: (573) 364-4667
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1144349259 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 28, 2007 |
| Last updated in NPPES | July 9, 2007 |
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