Provider Demographics
NPI:1699965640
Name:COMPLETE HEALTH CARE SOLUTIONS, INC.
Entity type:Organization
Organization Name:COMPLETE HEALTH CARE SOLUTIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUDROFF
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:573-489-0246
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:FAYETTE
Mailing Address - State:MO
Mailing Address - Zip Code:65248-0029
Mailing Address - Country:US
Mailing Address - Phone:660-248-3333
Mailing Address - Fax:660-248-9875
Practice Address - Street 1:303 1/2 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FAYETTE
Practice Address - State:MO
Practice Address - Zip Code:65248-1270
Practice Address - Country:US
Practice Address - Phone:660-248-3333
Practice Address - Fax:660-248-9875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1519-9286320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities