PULASKI COUNTRY GROUP HOME; NPI #1790806545

Contact Information

PULASKI COUNTRY GROUP HOME

307 KEETH ROAD
CROCKER, MO 65452

Phone: 573-736-5603
Fax: 573-736-2771
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Respite Care	385H00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X

Indicates primary specialty

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NPI Profile & details for PULASKI COUNTRY GROUP HOME

NPI Number	`1790806545`
LBN Legal business name	PULASKI COUNTRY GROUP HOME
Authorized official	BOBBIE MORRIS - (ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/02/2007
Last updated	09/11/2025 - About 9 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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