Organization
REGIONAL CARE OF SPRINGFIELD WEST, LLC
Active
Other names
Westside Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CODY LONG (CFO)
(479) 464-0200
Entity
Organization
Contact information
Practice address
3403 W MOUNT VERNON ST, SPRINGFIELD, MO 65802-5241
(417) 864-5600
(417) 862-8205
Mailing address
222 S 1ST ST, ROGERS, AR 72756-4504
(479) 464-0200
(479) 464-8098
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
037160
MO
Other
Enumeration date
02/04/2011
Last updated
11/07/2014
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