Organization
N & R OF DIXON, LLC
Active
Other names
Dixon Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C LINCOLN (MEMBER)
(573) 481-9625
Entity
Organization
Contact information
Practice address
403 E 10TH ST, DIXON, MO 65459-6049
(573) 759-2135
(573) 759-2600
Mailing address
403 E 10TH ST, DIXON, MO 65459-6049
(573) 759-2135
(573) 759-2600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030811
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102745502
—
MO
01
—
18459587
STATE ID
MO
Enumeration date
09/21/2005
Last updated
05/13/2014
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