Organization
CHAFFEE NURSING, LLC
Active
Other names
Chaffee Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES REIKER (TREASURER)
(573) 471-1113
Entity
Organization
Contact information
Practice address
12273 STATE HIGHWAY 77, CHAFFEE, MO 63740-8219
(573) 887-3615
(573) 887-6452
Mailing address
12273 STATE HIGHWAY 77, CHAFFEE, MO 63740-8219
(573) 887-3615
(573) 887-6452
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030534
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102448503
—
MO
Enumeration date
07/07/2005
Last updated
08/27/2012
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