OrganizationActive
Effie Shurtz Home
NPI 1104952621 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · East Prairie, MO
Provider details
- NPI number
- 1104952621
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Effie Shurtz, Owner(573) 649-5054
- License
- 277 9507 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 277 9507 (MO)
Residential Treatment Facilities
Practice location
22 Margaret Dr
East Prairie, MO 63845
Phone: (573) 649-5054
Approximate (ZIP-level) locationGet directions
Mailing address
22 Margaret Dr
East Prairie, MO 63845
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.