Organization
CEDARS OF LIBERTY HEALTH CARE CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J. DESTEFANE (PRESIDENT)
(314) 543-3800
Entity
Organization
Contact information
Practice address
200 W RUTH EWING RD, LIBERTY, MO 64068-9496
(816) 781-7600
(816) 781-0636
Mailing address
1869 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122
(314) 543-3800
(314) 543-3880
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MO
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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