Organization
LIGHTNING CREEK INVESTMENT GROUP,INC
Active
Other names
Brunswick Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE M REICHERT RN ADMINISTRATOR (ADMINISTRATOR)
(660) 548-3182
Entity
Organization
Contact information
Practice address
721 W HARRISON ST, BRUNSWICK, MO 65236
(660) 548-3182
(660) 548-3813
Mailing address
721 W HARRISON ST, BRUNSWICK, MO 65236
(660) 548-3182
(660) 548-3813
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
034138
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102272101
—
MO
Enumeration date
10/28/2005
Last updated
07/14/2008
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