Organization
N & R OF HERMITAGE LLC
Active
Other names
HERMITAGE NURSING & REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HEDRICK CFO (CFO)
(573) 481-9625
Entity
Organization
Contact information
Practice address
18599 FIRST STREET, HERMITAGE, MO 65668-0325
(417) 745-2111
(417) 745-2211
Mailing address
PO BOX 325, HERMITAGE, MO 65668-0325
(417) 745-2111
(417) 745-2211
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
041318
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101975308
—
MO
Enumeration date
12/04/2014
Last updated
10/01/2025
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