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Organization

WESTPHALIA RETIREMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TOM OTKE (PRESIDENT/OWNER)
(573) 659-6607
Entity
Organization

Contact information

Practice address
1899 HIGHWAY 63, WESTPHALIA, MO 65085-2215
(573) 455-2280
(573) 455-2253
Mailing address
1899 HIGHWAY 63, WESTPHALIA, MO 65085-2215
(573) 455-2280
(573) 455-2253

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
030609
MO
314000000X
Skilled Nursing Facility
030608
MO

Other

Enumeration date
11/17/2005
Last updated
09/11/2025
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