Organization
HEALTH SERVICES ADMINISTRATION, INC
Active
Other names
Heritage Hall Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES REIKER (VICE PRESIDENT - FINANCE)
(573) 471-1113
Entity
Organization
Contact information
Practice address
750 E HIGHWAY 22, CENTRALIA, MO 65240-1146
(573) 682-5551
(573) 682-1469
Mailing address
750 E HIGHWAY 22, CENTRALIA, MO 65240-1146
(573) 682-5551
(573) 682-1469
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031309
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101453900
—
MO
Enumeration date
07/07/2005
Last updated
11/18/2011
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