Organization
PCC INVESTMENTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN GULLET (ADMINISTRATOR)
(636) 271-4222
Entity
Organization
Contact information
Practice address
105 S 6TH ST, PACIFIC, MO 63069-1328
(636) 271-4222
(636) 257-8002
Mailing address
105 S 6TH ST, PACIFIC, MO 63069-1328
(636) 271-4222
(636) 257-8002
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031421
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102343001
—
MO
Enumeration date
07/29/2005
Last updated
06/03/2009
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