Organization
SCENIC NURSING AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORBERT A BENNETT (CO-CHIEF EXECUTIVE OFFICER)
(716) 662-4955
Entity
Organization
Contact information
Practice address
1333 SCENIC DR, HERCULANEUM, MO 63048-1550
(636) 931-2995
(636) 931-8760
Mailing address
PO BOX 428, ORCHARD PARK, NY 14127-0428
(716) 662-4955
(716) 667-9230
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031464
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101931202
—
MO
Enumeration date
11/21/2006
Last updated
12/08/2023
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