Organization
NATHAN RICHARD HEALTH CARE CENTER, LLC
Active
Other names
Nathan Richard Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J. DESTEFANE (PRESIDENT)
(314) 543-3816
Entity
Organization
Contact information
Practice address
700 E HIGHLAND AVE, NEVADA, MO 64772-1025
(417) 667-8880
Mailing address
1869 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122
(314) 543-3816
(314) 226-1736
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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