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Organization

PENBERTHYHOLDINGS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDON PENBERTHY (OWNER)
(314) 315-6272
Entity
Organization

Contact information

Practice address
102 BAILEY ST, FARMINGTON, MO 63640-1819
(573) 756-6374
Mailing address
7164 ROSEMARY LN, CEDAR HILL, MO 63016-3130
(314) 315-6272
(314) 475-1913

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary

Other

Enumeration date
05/20/2024
Last updated
05/20/2024
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