is a Skilled Nursing Facility in De Soto, Missouri. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for is 1487811436. The last update date is .
's current location address is 1550 Villa Dr, De Soto, Missouri. You can contact this provider via phone number 6365866559. The mailing address for is 1550 Villa Dr, De Soto, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1550 Villa Dr, De Soto, Missouri |
| Phone Number | 6365866559 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1487811436 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1550 Villa Dr |
|---|---|
| City | De Soto |
| State | Missouri (MO) |
| Post Code | 630202586 |
| Phone Number | 6365866559 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 107812307 | MO | -- |
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