Organization
INDEPENDENCE HEALTH SYSTEM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE SCHNURBUSCH (ADMINISTRATOR)
(573) 547-6546
Entity
Organization
Contact information
Practice address
800 S KINGSHIGHWAY ST, PERRYVILLE, MO 63775-2106
(573) 547-6546
(573) 547-2823
Mailing address
800 S KINGSHIGHWAY ST, PERRYVILLE, MO 63775-2106
(573) 547-6546
(573) 547-2823
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
031348
MO
314000000X
Skilled Nursing Facility
Primary
031654
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101493203
—
MO
05
—
268114808
—
MO
Enumeration date
09/22/2005
Last updated
11/19/2014
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