Organization
PARKLANE CARE AND REHABILITATION CENTER INC
Active
Other names
PARKLANE CARE AND REHABILITATON CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLYNIS WILBERT (ADMINISTRATOR)
(636) 332-9580
Entity
Organization
Contact information
Practice address
401 MAR LE DR, WENTZVILLE, MO 63385-1647
(636) 332-9580
(636) 332-5633
Mailing address
401 MAR LE DR, WENTZVILLE, MO 63385-1647
(636) 332-9580
(636) 332-5633
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030122
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101456903
—
MO
01
—
177783
BLUE CROSS BLUE SHIELD
MO
Enumeration date
06/15/2005
Last updated
03/12/2013
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