Organization
N & R OF INDEPENDENCE LLC
Active
Other names
TRUMAN GARDENS
Organization subpart
No
Provider details
NPI number
Authorized official
MATHIAS P DASAL (MEMBER)
(573) 481-9625
Entity
Organization
Contact information
Practice address
17451 MEDICAL CENTER PKWY, INDEPENDENCE, MO 64057-1805
(816) 373-7795
(816) 373-2955
Mailing address
17451 MEDICAL CENTER PKWY, INDEPENDENCE, MO 64057-1805
(816) 373-7795
(816) 373-2955
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
043283
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101488104
—
MO
Enumeration date
08/18/2016
Last updated
08/18/2016
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