Organization
N & R OF GREENVILLE, INC.
Active
Other names
Greenville Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HUDSPETH (COO CFO)
(573) 392-0316
Entity
Organization
Contact information
Practice address
SYCAMORE ST, GREENVILLE, MO 63944
(573) 224-3298
(573) 224-5338
Mailing address
PO BOX 108, GREENVILLE, MO 63944-0108
(573) 224-3298
(573) 224-5338
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
029954
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102758307
—
MO
01
—
16877942
STATE ID
MO
Enumeration date
09/22/2005
Last updated
04/25/2008
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