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Organization

N & R OF JEFFERSON CITY LLC

Active
Other names
RIVER CITY LIVING COMMUNITY
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA HEDRICK CFO (CFO)
(573) 481-9625
Entity
Organization

Contact information

Practice address
3038 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-0525
(573) 893-3404
(573) 893-8374
Mailing address
3038 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-0525
(573) 893-3404
(573) 893-8374

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
043613
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101456804
MO
Enumeration date
08/18/2016
Last updated
09/16/2025
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