Organization
LINCOLN COMMUNITY NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREA KATHLEEN KREISLER (BUSINESS OFFICE MGR)
(660) 547-3322
Entity
Organization
Contact information
Practice address
205 TIMBERLINE DR, LINCOLN, MO 65338
(660) 547-3322
Mailing address
205 TIMBERLINE DR, LINCOLN, MO 65338
(660) 547-3322
(660) 547-3484
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031637
LICENSE #
MO
05
—
101489607
—
MO
Enumeration date
05/19/2006
Last updated
06/24/2008
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