Organization
ELDERCARE OF MID-MISSOURI VIII, INC.
Active
Other names
StoneBridge Oak Tree
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LIERMAN (AUTHORIZED OFFICIAL)
(636) 477-3280
Entity
Organization
Contact information
Practice address
3108 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-4918
(573) 893-3063
Mailing address
3108 W TRUMAN BLVD, JEFFERSON CITY, MO 65109-4918
(636) 477-3280
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/19/2008
Last updated
12/01/2020
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