Organization
PALLADIAN SENIOR CARE OF POPLAR BLUFF LLC.
Active
Other names
Oakdale Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JASON MILLS (CFO)
(314) 317-2003
Entity
Organization
Contact information
Practice address
2702 DEBBIE LN, POPLAR BLUFF, MO 63901-2650
(573) 686-5242
(573) 686-3637
Mailing address
500 NW PLAZA DR STE 712, SAINT ANN, MO 63074-2222
(314) 566-0459
(573) 686-3637
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031709
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106774102
—
MO
Enumeration date
10/11/2005
Last updated
03/18/2024
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