Organization
THE PROGRESSIVE HEALTH CARE GROUP, INC.
Active
Other names
Shady Lawn Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HUDSPETH (COO CFO)
(816) 324-5991
Entity
Organization
Contact information
Practice address
13277 STATE ROUTE D, SAVANNAH, MO 64485-9431
(816) 324-5991
(816) 324-3556
Mailing address
PO BOX 277, SAVANNAH, MO 64485-0277
(816) 324-5991
(816) 324-3556
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031268
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101450302
—
MO
01
—
16237161
STATE ID
MO
Enumeration date
09/22/2005
Last updated
02/19/2010
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