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Organization

GUTHRIE ENTERPRISES, INC.

Active
Other names
Summit Villa Lifecare
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID L NOLTING (ADMINISTRATOR)
(573) 896-8567
Entity
Organization

Contact information

Practice address
229 KAREN DR, HOLTS SUMMIT, MO 65043-2522
(573) 896-8567
Mailing address
229 KAREN DR, HOLTS SUMMIT, MO 65043-2522
(573) 896-8567

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
034684
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8470408
MO
Enumeration date
10/04/2007
Last updated
10/04/2007
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