Organization
THE GRAND ROYALE SENIOR LIVING COMMUNITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R STOCKDALE II (PRESIDENT)
(865) 566-6818
Entity
Organization
Contact information
Practice address
2900 NE KENDALLWOOD PKWY, GLADSTONE, MO 64119-1831
(865) 556-6818
Mailing address
2900 NE KENDALLWOOD PKWY, GLADSTONE, MO 64119-1831
(865) 556-6818
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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