Organization
MILLER COUNTY NURSING HOME DISTRICT
Active
Other names
Miller County Care and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE MALMBERG RN C (ADMINISTRATOR)
(573) 369-2318
Entity
Organization
Contact information
Practice address
1157 HIGHWAY 17, TUSCUMBIA, MO 65082-2100
(573) 369-2318
(573) 369-3012
Mailing address
1157 HIGHWAY 17, TUSCUMBIA, MO 65082-2100
(573) 369-2318
(573) 369-3012
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
030712
MO
314000000X
Skilled Nursing Facility
Primary
030711
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101491603
—
MO
05
—
268240009
—
MO
Enumeration date
08/20/2006
Last updated
11/17/2015
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