Organization
FIESER NURSING CENTER LLC
Active
Other names
Fieser Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN E FIESER (ADMINISTRATOR)
(636) 343-4344
Entity
Organization
Contact information
Practice address
404 MAIN STREET, FENTON, MO 63026
(636) 343-4344
(636) 349-4536
Mailing address
404 MAIN STREET, FENTON, MO 63026
(636) 343-4344
(636) 349-4536
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
032681
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26A490
—
MO
Enumeration date
10/16/2006
Last updated
08/22/2020
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