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Organization

TIFFANY CARE CENTERS, INC.

Active
Other names
TIFFANY HEIGHTS
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY YOCUM (ADMINISTRATOR)
(660) 442-3146
Entity
Organization

Contact information

Practice address
1531 NEBRASKA ST, MOUND CITY, MO 64470-1610
(660) 442-3146
Mailing address
PO BOX 308, MOUND CITY, MO 64470-0308
(660) 442-3146

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
035785
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101496909
MO
Enumeration date
07/09/2006
Last updated
08/31/2009
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