MEDICARE: A&G COMPANY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1770605958
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&G COMPANY INC.

Provider Business Mailing Address
First Line	:	305 WEST SUMMER STREET
Second Line	:
City	:	MONROE CITY
State	:	MO
Zip	:	63456-1316
Country	:	US
Telephone Number	:	573-735-4150
Fax Number	:

Provider Business Practice Location Address
First Line	:	305 WEST SUMMER STREET
Second Line	:
City	:	MONROE CITY
State	:	MO
Zip	:	63456-1316
Country	:	US
Telephone Number	:	573-735-4150
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. LINDA J BOGUE
Credential	:
Telephone Number	:	573-735-4150

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	08/22/2020

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