Organization
CLARK'S MOUNTAIN MANAGEMENT, CORP
Active
Other names
Clakr's Mountain Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES REIKER (VICE PRESIDENT - FINANCE)
(573) 471-1113
Entity
Organization
Contact information
Practice address
2100 BARNES ST, PIEDMONT, MO 63957-1008
(573) 223-4297
(573) 223-7121
Mailing address
2100 BARNES ST, PIEDMONT, MO 63957-1008
(573) 223-4297
(573) 223-7121
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031284
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101453504
—
MO
Enumeration date
07/07/2005
Last updated
10/18/2011
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