Organization
PORTAGEVILLE NURSING AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A RICH (PRESIDENT)
(940) 387-4388
Entity
Organization
Contact information
Practice address
290 W STATE HIGHWAY 162, PORTAGEVILLE, MO 63873-9397
(573) 379-2017
(573) 379-2753
Mailing address
401 N ELM ST, DENTON, TX 76201-4137
(573) 379-2017
(573) 379-2753
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/17/2013
Last updated
11/05/2013
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