Organization
CATHEDRALROCK BALLWIN-OAKFOREST SKILLED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT HARRINGTON (PRESIDENT)
(817) 335-4111
Entity
Organization
Contact information
Practice address
1441 CHARIC DR, BALLWIN, MO 63021-2001
(636) 394-2522
(636) 779-0072
Mailing address
306 W 7TH ST, 415 FORT WORTH CLUB BLDG, FORT WORTH, TX 76102-4900
(817) 995-4111
(817) 335-4111
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031740
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MO017887
FACILITY ID
MO
Enumeration date
09/20/2005
Last updated
08/22/2020
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