Organization
CLARENCE NURSING HOME DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T WALKER (ADMINISTRATOR)
(660) 699-2118
Entity
Organization
Contact information
Practice address
111 EAST ST, CLARENCE, MO 63437-1902
(660) 699-2118
(660) 699-2127
Mailing address
111 EAST ST, CLARENCE, MO 63437-1902
(660) 699-2118
(660) 699-2127
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030547
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101483600
—
MO
Enumeration date
07/15/2005
Last updated
10/27/2011
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