Organization
GOWER CONVALESCENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL E POTTIER NHA (ADMINISTRATOR)
(816) 424-6483
Entity
Organization
Contact information
Practice address
323 SOUTH 169 HIGHWAY, GOWER, MO 64454-0170
(816) 424-6483
(816) 424-6209
Mailing address
PO BOX 170, 323 SOUTH 169 HIGHWAY, GOWER, MO 64454-0170
(816) 424-6483
(816) 424-6209
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032473
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26E290
—
MO
Enumeration date
10/26/2005
Last updated
08/22/2020
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