Organization
NIRMAL K SAMANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRMAL KUMAR SAMANTA PHD,CCC-SLP (SPEECH -LANGUAGE PATHOLOGIST)
(573) 450-3393
Entity
Organization
Contact information
Practice address
250 BRANDY LN, CAPE GIRARDEAU, MO 63701-8443
(573) 450-3393
(573) 339-0911
Mailing address
250 BRANDY LN, CAPE GIRARDEAU, MO 63701-8443
(573) 450-3393
(573) 339-0911
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
2004016682
MO
313M00000X
Nursing Facility/Intermediate Care Facility
2004016682
MO
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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