Organization
MLD HEALTHCARE LLC
Active
Other names
Cameron Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN L DUNSWORTH (OWNER/PERSIDENT)
(816) 632-7254
Entity
Organization
Contact information
Practice address
801 EUCLID AVE, CAMERON, MO 64429-2003
(816) 632-7254
(816) 632-3757
Mailing address
801 EUCLID AVE, PO BOX 438, CAMERON, MO 64429-2003
(816) 632-7254
(816) 632-3757
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032592
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90769013
BC/BS PROVIDER NUMBER
MO
Enumeration date
09/28/2006
Last updated
08/22/2020
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