Organization
TIFFANY CARE CENTERS, INC
Active
Other names
OREGON CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN COTTON (ADMINISTRATOR)
(660) 446-3355
Entity
Organization
Contact information
Practice address
501 S. MONROE ST., BOX 19, OREGON, MO 64473-0019
(660) 446-3355
(660) 446-3690
Mailing address
501 S. MONROE ST., BOX 19, OREGON, MO 64473-0019
(660) 446-3355
(660) 446-3690
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032342
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102307303
—
MO
Enumeration date
07/09/2006
Last updated
12/09/2014
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