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Organization

GREENVILLE HEALTH CARE CENTER, L.L.C.

Active
Other names
GREENVILLE HEALTH CARE CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD J. DESTEFANE (PRESIDENT)
(314) 543-3800
Entity
Organization

Contact information

Practice address
117 SYCAMORE STREET, GREENVILLE, MO 63944
(314) 543-3800
Mailing address
1869 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122
(314) 543-3805
(314) 543-3880

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
LC001502475
MO

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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