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Organization

N & R OF CHARLESTON LLC

Active
Other names
Charleston Manor
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA HEDRICK CFO (CFO)
(573) 481-9625
Entity
Organization

Contact information

Practice address
1220 E MARSHALL ST, CHARLESTON, MO 63834-1349
(573) 683-3721
(573) 683-3029
Mailing address
1220 E MARSHALL ST, CHARLESTON, MO 63834-1349
(573) 683-3721
(573) 683-3029

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
039328
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101451904
MO
Enumeration date
07/11/2011
Last updated
10/23/2025
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