Organization
KNOX COUNTY NURSING HOME DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM SCHRAGE (ADMINISTRATOR)
(660) 397-2282
Entity
Organization
Contact information
Practice address
55774 STATE HIGHWAY 6, EDINA, MO 63537-4253
(660) 397-2282
(660) 397-2284
Mailing address
55774 STATE HIGHWAY 6, EDINA, MO 63537-4253
(660) 397-2282
(660) 397-2284
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031485
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101488906
—
MO
Enumeration date
10/27/2005
Last updated
08/24/2015
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