Organization
UNIVEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWN WOOLERY RN (MEMBER)
(785) 217-5999
Entity
Organization
Contact information
Practice address
1300 E 24TH ST, SEDALIA, MO 65301-8233
(660) 827-3313
Mailing address
23200 CRAFTSMAN DR, SEDALIA, MO 65301-4811
(785) 217-5999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
043278
MO
Other
Enumeration date
09/01/2015
Last updated
12/09/2020
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