Organization
CATHEDRAL ROCK OF ROLLA INC
Active
Other names
Heritage Park Skilled Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KENT HARRINGTON (PRESIDENT)
(817) 335-4111
Entity
Organization
Contact information
Practice address
1200 MCCUTCHEN RD, ROLLA, MO 65401-2615
(573) 364-2311
(573) 364-2748
Mailing address
306 W 7TH ST STE 415, FORT WORTH, TX 76102-4905
(817) 335-4111
(817) 335-0800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032162
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101475408
—
MO
Enumeration date
01/22/2007
Last updated
09/02/2008
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