Organization
QUAIL CREEK SKILLED NURSING, LLC
Active
Other names
The Neighborhoods at Quail Creek
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES REIKER (TREASURER)
(417) 889-1275
Entity
Organization
Contact information
Practice address
1514 WEST LARK, SPRINGFIELD, MO 65810
(417) 889-1275
(417) 881-0657
Mailing address
1514 WEST LARK, SPRINGFIELD, MO 65810
(417) 889-1275
(417) 881-0657
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032174
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102679008
—
MO
Enumeration date
03/30/2006
Last updated
02/01/2013
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