Organization
WORTH COUNTY NURSING HOME DISTRICT
Active
Other names
Worth County Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOZY MOYER (BOARD OF DIR. SEC.)
(660) 564-3304
Entity
Organization
Contact information
Practice address
503 E 4TH ST., GRANT CITY, MO 64456-8863
(660) 564-3304
(660) 564-2596
Mailing address
503 E 4TH ST., GRANT CITY, MO 64456-8363
(660) 564-3304
(660) 564-2596
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032813
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101498103
—
MO
01
—
91268019
BLUE CROSS BLUE SHIELD
MO
Enumeration date
09/05/2006
Last updated
06/27/2014
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