Organization
N & R OF NIXA LLC
Active
Other names
NIXA NURSING & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HEDRICK CFO (CFO)
(573) 481-9625
Entity
Organization
Contact information
Practice address
1104 N MAIN ST, NIXA, MO 65714-9394
(417) 725-1777
(417) 725-4975
Mailing address
1104 N MAIN ST, P.O. BOX 694, NIXA, MO 65714-9394
(417) 725-1777
(417) 725-4975
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
040833
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102465002
—
MO
Enumeration date
12/01/2014
Last updated
09/15/2025
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