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 | |
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Address | 1030 Edmonds St, Jefferson City, Missouri |
Phone Number | 6364773280 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1386801215 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1030 Edmonds St |
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City | Jefferson City |
State | Missouri (MO) |
Post Code | 651095213 |
Phone Number | 6364773280 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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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 |
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101771905 | MO | -- |
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