National Provider Identifier Database

PULASKI COUNTRY GROUP HOME
Respite Care


Contact Information

PULASKI COUNTRY GROUP HOME
307 KEETH ROAD
CROCKER, MO65452
Phone: 573-736-5603
Fax: 573-736-2771
Website:
Specialty Taxonomy Code
* Respite Care 385H00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for PULASKI COUNTRY GROUP HOME

NPI Number 1790806545
Legal business name
LBN
PULASKI COUNTRY GROUP HOME
Authorized official BOBBIE MORRIS - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/02/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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