Organization
AMERICARE AT SOUTHBROOK NURSING CENTER, LLC
Active
Other names
Southbrook - Skilled Nursing by Americare
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES REIKER (PRESIDENT)
(573) 756-6658
Entity
Organization
Contact information
Practice address
1108 W LIBERTY ST, FARMINGTON, MO 63640-1922
(573) 756-6658
Mailing address
1108 W LIBERTY ST, FARMINGTON, MO 63640-1922
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
01/11/2012
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