Healthcare Provider Details

I. General information

NPI: 1831210293
Provider Name (Legal Business Name): PIERCE HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1146 COUNTY ROAD 241
ARMSTRONG MO
65230-9999
US

IV. Provider business mailing address

PO BOX 118
ARMSTRONG MO
65230-0118
US

V. Phone/Fax

Practice location:
  • Phone: 660-273-2190
  • Fax: 660-273-2271
Mailing address:
  • Phone: 660-273-2190
  • Fax: 660-273-2271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHERRI JANE CRIDER
Title or Position: ADMINISTRATOR
Credential:
Phone: 660-273-2190