Organization
NORTHPORT HEALTH SERVICES OF MISSOURI, LLC
Active
Other names
Webb City Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CODY LONG (CFO)
(205) 391-3600
Entity
Organization
Contact information
Practice address
2077 STADIUM DR, WEBB CITY, MO 64870-9743
(417) 673-1933
Mailing address
2077 STADIUM DR, WEBB CITY, MO 64870-9743
(417) 673-1933
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102259108
—
MO
Enumeration date
06/07/2006
Last updated
10/09/2020
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