Organization
N & R OF SIKESTON HEALTH CARE, INC.
Active
Other names
Sikeston Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HUDSPETH (COO CFO)
(573) 392-0316
Entity
Organization
Contact information
Practice address
3144 STATE HIGHWAY FF, SIKESTON, MO 63801-8580
(573) 471-1174
(573) 471-1944
Mailing address
PO BOX 489, SIKESTON, MO 63801-0489
(573) 471-1174
(573) 471-1944
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030921
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101495802
—
MO
01
—
16877951
STATE ID
MO
Enumeration date
09/22/2005
Last updated
01/21/2009
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