Organization
HOUSTON NO 1 INC.
Active
Other names
Houston House
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON L SHIRRELL (VICE PRESIDENT OF REIMBURSEMENT)
(573) 471-1276
Entity
Organization
Contact information
Practice address
1000 N INDUSTRIAL DR, HOUSTON, MO 65483-9400
(417) 967-2527
(417) 967-4427
Mailing address
PO BOX 1210, SIKESTON, MO 63801-1210
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
045463
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102068608
—
MO
Enumeration date
07/07/2006
Last updated
08/30/2017
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