Organization
MERIDIAN HEALTHCARE LLC
Active
Other names
Roaring River Health & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD PARKER HIGHTOWER (MANAGER)
(479) 471-9797
Entity
Organization
Contact information
Practice address
812 OLD EXETER RD, CASSVILLE, MO 65625-1704
(417) 847-2184
Mailing address
PO BOX 3068, FORT SMITH, AR 72913-3068
(417) 847-2184
(417) 847-1069
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
042508
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102055001
—
MO
Enumeration date
07/30/2014
Last updated
09/22/2015
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