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Organization

MARANATHA VILLAGE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNI S HALL (BUSINESS OFFICE MANAGER)
(417) 833-0016
Entity
Organization

Contact information

Practice address
233 E NORTON RD, SPRINGFIELD, MO 65803-3633
(417) 833-0016
(417) 833-6659
Mailing address
233 E NORTON RD, SPRINGFIELD, MO 65803-3633
(417) 833-0016
(417) 833-6659

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031691
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101490704
MO
Enumeration date
10/21/2005
Last updated
02/10/2009
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