Organization
CARRIAGE SQUARE HEALTH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY A BURFORD (PRESIDENT)
(816) 364-1526
Entity
Organization
Contact information
Practice address
4009 GENE FIELD RD, SAINT JOSEPH, MO 64506-1864
(816) 364-1526
(816) 364-2632
Mailing address
4009 GENE FIELD RD, SAINT JOSEPH, MO 64506-1864
(816) 364-1526
(816) 364-2632
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031398
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101481703
—
MO
Enumeration date
10/03/2005
Last updated
03/19/2013
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