Organization
CHARITON PARK HEALTH CENTER, LLC
Active
Organization
CHARITON PARK HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JOSEPH DESTEFANE (PRESIDENT)
(314) 543-3800
Entity
Organization
Contact information
Practice address
902 MANOR DR, SALISBURY, MO 65281-1236
(660) 388-6486
(660) 388-5994
Mailing address
902 MANOR DR, SALISBURY, MO 65281-1236
(660) 388-6486
(660) 388-5994
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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