Organization
CLARK COUNTY NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY MCDANIEL-RAMSEY R.N. (ADMINISTRATOR)
(660) 727-3303
Entity
Organization
Contact information
Practice address
1260 N JOHNSON ST, KAHOKA, MO 63445-1100
(660) 727-3303
(660) 727-3736
Mailing address
1260 N JOHNSON ST, KAHOKA, MO 63445-1100
(660) 727-3303
(660) 727-3736
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
035239
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101483709
—
MO
05
—
261483705
—
MO
Enumeration date
08/26/2005
Last updated
07/31/2009
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