Organization
DEACONESS LONG TERM CARE OF MISSOURI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA BROOKS CPA (CFO)
(513) 487-3600
Entity
Organization
Contact information
Practice address
440 LAFAYETTE AVE, SUITE 400, CINCINNATI, OH 45220-1022
(513) 487-3600
(513) 487-3613
Mailing address
440 LAFAYETTE AVE, SUITE 400, CINCINNATI, OH 45220-1022
(513) 487-3600
(513) 487-3613
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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