Organization
TIFFANY CARE CENTERS, INC.
Active
Other names
Nodaway Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY SUMMA (ADMINISTRATOR)
(660) 562-2876
Entity
Organization
Contact information
Practice address
22371 STATE HIGHWAY 46, MARYVILLE, MO 64468-8157
(660) 562-2876
(660) 562-7558
Mailing address
PO BOX 307, 22371 STATE HIGHWAY 46, MARYVILLE, MO 64468-8157
(660) 562-2876
(660) 562-7558
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
037434
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102385408
—
MO
05
—
26A500
—
MO
Enumeration date
05/04/2010
Last updated
05/26/2015
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