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Organization

N & R OF STRAFFORD, INC.

Active
Other names
Strafford Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES C LINCOLN (SHAREHOLDER)
(573) 746-7100
Entity
Organization

Contact information

Practice address
505 W EVERGREEN ST, STRAFFORD, MO 65757-8625
(417) 736-9332
(417) 736-9391
Mailing address
505 W EVERGREEN ST, STRAFFORD, MO 65757-8625
(417) 736-9332
(417) 736-9391

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031463
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108297805
MO
01
17764866
STATE ID
MO
Enumeration date
09/22/2005
Last updated
11/04/2011
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