Organization
ST. ELIZABETH CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY DOERHOFF (ADMINISTRATOR)
(573) 493-2215
Entity
Organization
Contact information
Practice address
649 S WALNUT ST, ST ELIZABETH, MO 65075-2440
(573) 493-2215
(573) 493-2712
Mailing address
649 S WALNUT ST, ST ELIZABETH, MO 65075-2440
(573) 493-2215
(573) 493-2712
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031788
MO
Other
Enumeration date
04/11/2006
Last updated
09/11/2007
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