Organization
N & R OF ST JAMES LLC
Active
Other names
ST JAMES LIVING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HEDRICK CFO (CFO)
(573) 481-9625
Entity
Organization
Contact information
Practice address
415 SIDNEY ST, SAINT JAMES, MO 65559-1070
(573) 265-8921
(573) 265-5133
Mailing address
415 SIDNEY ST, SAINT JAMES, MO 65559-1070
(573) 265-8921
(573) 265-5133
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
042091
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101453801
—
MO
Enumeration date
08/18/2016
Last updated
09/16/2025
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