Organization
CHRISTIAN HEALTH CARE OF REPUBLIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS STAYTON (PRESIDENT)
(417) 891-9939
Entity
Organization
Contact information
Practice address
901 E STATE HIGHWAY 174, REPUBLIC, MO 65738-1155
(417) 732-1822
(417) 732-1084
Mailing address
901 E HIGHWAY 174, REPUBLIC, MO 65738-1155
(417) 732-1822
(417) 732-1084
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032076
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102459104
—
MO
Enumeration date
10/02/2006
Last updated
10/26/2011
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