Organization
SENIOR LIFE, INC.
Active
Other names
Saxton Riverside Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY DELMAR SAXTON (OWNER)
(816) 364-2578
Entity
Organization
Contact information
Practice address
1616 WEISENBORN RD, SAINT JOSEPH, MO 64507-2527
(816) 232-9874
(816) 364-4454
Mailing address
P.O. BOX 8359, ST. JOSEPH, MO 64508-8359
(816) 232-9874
(816) 364-4454
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
033685
MO
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
033652
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102051604
—
MO
05
—
262051600
—
MO
Enumeration date
02/12/2007
Last updated
12/11/2009
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