Organization
N & R OF SMITHVILLE LLC
Active
Other names
SMITHVILLE LIVING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MATHIAS P DASAL (MEMBER)
(573) 481-9625
Entity
Organization
Contact information
Practice address
106 HOSPITAL DR, SMITHVILLE, MO 64089-9333
(816) 351-0888
(816) 532-4896
Mailing address
106 HOSPITAL DR, SMITHVILLE, MO 64089-9333
(816) 351-0888
(816) 532-4896
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
042043
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101496107
—
MO
Enumeration date
08/18/2016
Last updated
11/29/2016
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