OrganizationActive
4-Acres Inc Dba Forakers Summerhouse
NPI 1538369145 · Adult Care Home Facility · Walnut Shade, MO
Provider details
- NPI number
- 1538369145
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Authorized official
- Karin Foraker, President
- License
- 031991 (MO)
Practice location
2163 Round Mountain Rd
Walnut Shade, MO 65771-9155
Phone: (417) 561-4544
Fax: (417) 561-4544
Mailing address
2163 Round Mountain Rd
Walnut Shade, MO 65771-9155
Registry dates
- Enumerated
- 2007-07-21
- Last updated
- 2008-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.