Organization
DELTA SOUTH SKILLED NURSING AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE DENISE YOUNG (DIRECTOR OF OPERATIONS)
(573) 683-1355
Entity
Organization
Contact information
Practice address
640 COLONEL GEORGE E DAY PARKWAY, SIKESTON, MO 63801-0624
(573) 471-3400
(573) 471-4918
Mailing address
950 FALCON DR, MALDEN, MO 63863-1017
(573) 683-1355
(573) 475-8693
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100046542
—
MO
Enumeration date
09/01/2016
Last updated
07/14/2022
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