Organization
SUN LAKES THERAPY
Active
Other names
Mt. Vernon Vet Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTI JAN HAYNES COTA/L (OCCUPATIONAL THERAPY ASSISTANT)
(417) 773-6388
Entity
Organization
Contact information
Practice address
21094 LAWRENCE 2072, ASH GROVE, MO 65604
(417) 773-6388
Mailing address
21094 LAWRENCE 2072, ASH GROVE, MO 65604
(417) 773-6388
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2001001805
MO
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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