Organization
LAWRENCE COUNTY NURSING HOME DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORENA BETH HILL (ADMINISTRATOR)
(417) 466-2183
Entity
Organization
Contact information
Practice address
915 CARL ALLEN ST, MOUNT VERNON, MO 65712-1612
(417) 466-2183
(417) 466-3003
Mailing address
915 CARL ALLEN ST, MOUNT VERNON, MO 65712-1612
(417) 466-2183
(417) 466-3003
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
030910
MO
314000000X
Skilled Nursing Facility
031083
MO
314000000X
Skilled Nursing Facility
Primary
039010
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101489300
—
MO
Enumeration date
03/28/2006
Last updated
12/02/2011
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