Organization
CHRISTIAN HEALTH CARE OF SPRINGFIELD EAST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS STAYTON R. N. (DIRECTOR OF CLINICAL SERVICES)
(417) 343-5401
Entity
Organization
Contact information
Practice address
3535 E CHEROKEE ST, SPRINGFIELD, MO 65809-2829
(417) 889-9955
(417) 889-5818
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
032535
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103082707
—
MO
Enumeration date
10/02/2006
Last updated
07/16/2010
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