Organization
LOCH HAVEN APARTMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ANN PRIMM BSN,RN,C (ASSISTANT ADMINISTRATOR)
(660) 385-3113
Entity
Organization
Contact information
Practice address
701 SUNSET HILLS DR, MACON, MO 63552-2134
(660) 385-3113
Mailing address
701 SUNSET HILLS DR, PO BOX 187, MACON, MO 63552-2134
(660) 385-3113
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
032683
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032683
RCF LICENSE
MO
Enumeration date
04/13/2007
Last updated
08/22/2020
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