Organization
MT VERNON PLACE CARE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA M GIARDINA (PRESIDENT)
(636) 394-3000
Entity
Organization
Contact information
Practice address
1425 S LANDRUM ST, MOUNT VERNON, MO 65712-1912
(417) 466-2260
(417) 466-4619
Mailing address
437 SOVEREIGN CT, BALLWIN, MO 63011-4432
(636) 394-3000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031643
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102976800
—
MO
Enumeration date
06/30/2005
Last updated
03/04/2021
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