Organization
N & R OF FAYETTE, INC.
Active
Other names
Fayette Caring Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C LINCOLN (SHAREHOLDER)
(573) 746-7100
Entity
Organization
Contact information
Practice address
501 S PARK AVE, FAYETTE, MO 65248-8952
(660) 248-3371
(660) 248-2100
Mailing address
501 S PARK AVE, FAYETTE, MO 65248-8952
(660) 248-3371
(660) 248-2100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
029374
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102085206
—
MO
01
—
16780728
STATE ID
MO
Enumeration date
09/22/2005
Last updated
11/04/2011
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