Organization
CATHEDRAL ROCK OF BALLWIN INC
Active
Parent organization
CATHEDRAL ROCK CORPORATION
Other names
Oak Forest Skilled Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHEDRAL ROCK CORPORATION
Authorized official
CHARLES KENT HARRINGTON (PRESIDENT)
(817) 335-4111
Entity
Organization
Contact information
Practice address
1441 CHARIC DR, BALLWIN, MO 63021-2001
(636) 394-2522
(636) 527-2218
Mailing address
306 W 7TH ST STE 415, FT WORTH, TX 76102-4905
(817) 335-4111
(817) 335-0800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031740
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103733606
—
MO
Enumeration date
01/22/2007
Last updated
04/14/2010
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