Organization
COUNTRY MEADOWS NURSING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARO SHIRSHEKAN III (CEO/MANAGING MEMEBER)
(573) 701-0600
Entity
Organization
Contact information
Practice address
1301 N SAINT JOE DR, PARK HILLS, MO 63601-1965
(573) 701-0600
(573) 701-0601
Mailing address
765 WEBER RD, FARMINGTON, MO 63640-3318
(573) 701-0600
(573) 701-0601
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032557
MO
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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