Organization
N & R OF FREDERICKTOWN, INC.
Active
Other names
ClaRu DeVille Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HEDRICK (CFO)
(573) 481-9625
Entity
Organization
Contact information
Practice address
105 SPRUCE ST, FREDERICKTOWN, MO 63645-1002
(573) 783-3993
(573) 783-5092
Mailing address
105 SPRUCE ST, FREDERICKTOWN, MO 63645-1002
(573) 783-3993
(573) 783-5092
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
029883
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103401006
—
MO
01
—
16780698
STATE ID
MO
Enumeration date
09/21/2005
Last updated
08/13/2025
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