Organization
N & R OF BERTRAND, INC.
Active
Other names
Bertrand Retirement Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C LINCOLN (SHAREHOLDER)
(573) 746-7100
Entity
Organization
Contact information
Practice address
603 HIGHWAY 62 W, BERTRAND, MO 63823-9738
(573) 683-4290
(573) 471-6161
Mailing address
603 HIGHWAY 62 W, BERTRAND, MO 63823-9738
(573) 683-4290
(573) 471-6161
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030478
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101480002
—
MO
01
—
16878035
STATE ID
MO
Enumeration date
09/21/2005
Last updated
11/04/2011
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