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Organization

PRIMROSE PLACE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RON PRENGER (VICE PRESIDENT)
(417) 269-9010
Entity
Organization

Contact information

Practice address
1115 E PRIMROSE ST, SPRINGFIELD, MO 65807-5146
(417) 269-9010
(417) 269-9966
Mailing address
1115 E PRIMROSE ST, SPRINGFIELD, MO 65807-5146
(417) 269-9010
(417) 269-9966

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030605
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106915705
MO
Enumeration date
11/21/2005
Last updated
09/10/2009
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