Organization
325TH COMBAT SUPPORT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY LEMANSKI RN (STAFF NURSE)
(913) 588-1551
Entity
Organization
Contact information
Practice address
11101 E INDEPENDENCE AVE, INDEPENDENCE, MO 64054-1511
(816) 836-0005
Mailing address
11101 E INDEPENDENCE AVE, INDEPENDENCE, MO 64054-1511
(816) 836-0005
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
534297-1
NY
Other
Enumeration date
07/14/2009
Last updated
11/16/2011
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