Organization
EBG HEALTH CARE II, INC.
Active
Other names
St. Louis Avenue Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL L GOURLEY (CHIEF FINANCIAL OFFICER)
(417) 869-5522
Entity
Organization
Contact information
Practice address
2900 N PRAIRIE AVE, SAINT LOUIS, MO 63107-2302
(314) 652-6111
(314) 652-1575
Mailing address
1505 E TRAFFICWAY ST, SPRINGFIELD, MO 65802-3174
(417) 869-5522
(417) 831-7729
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031678
MO
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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