Organization
DEACONESS LONG TERM CARE OF MISSOURI, INC
Active
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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