Organization
CROWN CARE CENTER OF HARRISONVILLE, L.C.
Active
Other names
Crown Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE BUNCH (VICE PRESIDENT OF OPERATIONS)
(816) 380-6525
Entity
Organization
Contact information
Practice address
3001 E ELM ST, HARRISONVILLE, MO 64701-1196
(816) 380-6525
(816) 380-4963
Mailing address
3001 E ELM ST, HARRISONVILLE, MO 64701-1196
(816) 380-6525
(816) 380-4963
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
027621
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108252602
—
MO
Enumeration date
10/04/2005
Last updated
05/05/2014
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