in Jefferson City - Skilled Nursing Facility

- NPI 1386801215

is a Skilled Nursing Facility in Jefferson City, Missouri. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for is 1386801215. The last update date is .

's current location address is 1030 Edmonds St, Jefferson City, Missouri. You can contact this provider via phone number 6364773280. The mailing address for is 1030 Edmonds St, Jefferson City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 1030 Edmonds St, Jefferson City, Missouri
Phone Number 6364773280
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1386801215
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 1030 Edmonds St
City Jefferson City
State Missouri (MO)
Post Code 651095213
Phone Number 6364773280
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
101771905 MO --

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