Organization
COUNTRY CLUB CARE CENTER OF WARRENSBURG, L.C.
Active
Other names
Country Club Care Center of Warrensburg
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE BUNCH (VICE PRESIDENT OF OPERATIONS)
(660) 429-4444
Entity
Organization
Contact information
Practice address
503 REGENT DR, WARRENSBURG, MO 64093-3231
(660) 429-4444
(660) 429-4331
Mailing address
503 REGENT DR, WARRENSBURG, MO 64093-3231
(660) 429-4444
(660) 429-4331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
035593
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108240805
—
MO
Enumeration date
10/04/2005
Last updated
11/17/2011
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