Quail Creek Skilled Nursing, Llc in Springfield - Skilled Nursing Facility

Quail Creek Skilled Nursing, Llc - NPI 1669433629

Quail Creek Skilled Nursing, Llc is a Skilled Nursing Facility in Springfield, Missouri. Quail Creek Skilled Nursing, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Quail Creek Skilled Nursing, Llc is 1669433629. The last update date is 2013-02-01.

Quail Creek Skilled Nursing, Llc's current location address is 1514 West Lark, Springfield, Missouri. You can contact this provider via phone number 4178891275 and fax number 4178810657. The mailing address for Quail Creek Skilled Nursing, Llc is 1514 West Lark, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Quail Creek Skilled Nursing, Llc
Address 1514 West Lark, Springfield, Missouri
Phone Number 4178891275
Fax Number 4178810657
Sole Proprietor --
Credentials --

Authorized Official

Title or Position TREASURER
Authorized Official Name Reiker James
Telephone Number 4178891275

NPI Number Detail

NPI Number 1669433629
Provider Enumeration Date 2006-03-30
Last Updated Date 2013-02-01

Provider Mailing Address Detail

Address 1514 West Lark
City Springfield
State Missouri (MO)
Post Code 65810
Phone Number 4178891275
Fax Number 4178810657

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 32174
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
102679008 MO --

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FAQs about Quail Creek Skilled Nursing, Llc

What is the Quail Creek Skilled Nursing, Llc's 1669433629?

The Quail Creek Skilled Nursing, Llc's NPI (National Provider Identifier) Number is 1669433629. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Quail Creek Skilled Nursing, Llc is physically located?

The Quail Creek Skilled Nursing, Llc is situated at the following address: 1514 West Lark, Springfield, MO 65810.

What is Quail Creek Skilled Nursing, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Quail Creek Skilled Nursing, Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.

On what date did the Quail Creek Skilled Nursing, Llc receive the assignment of its 1669433629 from the Centers for Medicare & Medicaid Services?

The Quail Creek Skilled Nursing, Llc was issued its 1669433629 by the Centers for Medicare & Medicaid Services on 2006-03-30.

As of what date was the information pertaining to Quail Creek Skilled Nursing, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Quail Creek Skilled Nursing, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-02-01.

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