Organization
N & R OF CLINTON LLC
Active
Other names
WESTWOOD LIVING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MATHIAS P DASAL (MEMBER)
(573) 481-9625
Entity
Organization
Contact information
Practice address
1801 N GAINES DR, CLINTON, MO 64735-1127
(660) 885-8196
(660) 885-6081
Mailing address
1801 N GAINES DR, CLINTON, MO 64735-1127
(660) 885-8196
(660) 885-6081
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
042951
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101457901
—
MO
Enumeration date
08/22/2016
Last updated
08/22/2016
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