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Organization

VILLAGE NORTH, INC.

Active
Other names
Village North Rehabilitation and Nursing Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL ROTHERY (OFFICER)
(314) 273-0791
Entity
Organization

Contact information

Practice address
11160 VILLAGE NORTH DR, SAINT LOUIS, MO 63136-6159
(314) 355-8010
(314) 653-4801
Mailing address
11133 DUNN RD, PFD 2ND FLOOR SUITE 2179, SAINT LOUIS, MO 63136-6119
(314) 653-4093
(314) 653-4077

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030933
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101863405
MO
01
138311
HEALTH LINK
01
195321
BLUE CROSS BLUE SHIELD
01
36044
GHP
01
7101115
UNITED HEALTHCARE
Enumeration date
07/25/2006
Last updated
03/23/2021
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