Organization
LINN COMMUNITY SKILLED CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE DE LA PIEDRA MD (OWNER)
(573) 897-0700
Entity
Organization
Contact information
Practice address
196 HIGHWAY CC, LINN, MO 65051-3500
(573) 897-0700
(573) 897-0400
Mailing address
196 HIGHWAY CC, LINN, MO 65051-3500
(573) 897-0700
(573) 897-0400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
042107
MO
Other
Enumeration date
05/22/2014
Last updated
07/09/2014
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