Organization
CATHEDRALROCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT HARRINGTON (PRESIDENT)
(817) 335-4111
Entity
Organization
Contact information
Practice address
2840 W CLAY, BLANCHETTE PLACE, ST CHARLES, MO 63301
(636) 946-6100
(636) 947-3437
Mailing address
306 W 7TH ST STE 415, FORT WORTH CLUB BLDG, FORT WORTH, TX 76102
(817) 335-4111
(817) 335-0800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030761
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001521
STATE FACILITY ID
MO
Enumeration date
09/27/2005
Last updated
08/22/2020
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