OrganizationActive
Maple Ridge Residential Care LLC
NPI 1992822639 · Assisted Living Facility (Mental Illness) · Farmington, MO
Provider details
- NPI number
- 1992822639
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Authorized official
- Patricia Anderson, Secretary
- License
- 033512 (MO)
Practice location
1034 Doris Dr
Farmington, MO 63640-1954
Phone: (573) 760-0155
Fax: (573) 760-0524
Mailing address
231 S Main St
Ironton, MO 63650-1307
Registry dates
- Enumerated
- 2007-03-26
- 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.