Organization
GOOD SAMARITAN NURSING HOME
Active
Other names
Good Samaritan Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA NELL STELLING (ADMINISTRATOR)
(660) 668-4515
Entity
Organization
Contact information
Practice address
403 W MAIN ST, COLE CAMP, MO 65325-1144
(660) 668-4515
(660) 668-4975
Mailing address
403 W MAIN ST, COLE CAMP, MO 65325-1144
(660) 668-4515
(660) 668-4975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
029352
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101487304
—
MO
Enumeration date
08/10/2005
Last updated
12/15/2011
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