Organization
NORTH GASCONADE COUNTY HEALTHCARE INC
Active
Other names
Frene Valley Healthcare South
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY J LLOYD (OWNER ADMINISTRATOR)
(573) 437-6877
Entity
Organization
Contact information
Practice address
1016 W HIGHWAY 28, OWENSVILLE, MO 65066-1677
(573) 437-6877
(573) 437-6881
Mailing address
PO BOX 593, 1016 HWY 28 WEST, OWENSVILLE, MO 65066-0593
(573) 437-6877
(573) 437-6881
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031161
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107797607
—
MO
Enumeration date
08/08/2006
Last updated
08/28/2009
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