Organization
PHBC, LLC
Active
Other names
Cassville Health Care and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN KLEIN (MANAGER)
(847) 329-4100
Entity
Organization
Contact information
Practice address
1300 COUNTY FARM RD, CASSVILLE, MO 65625-1726
(417) 847-3386
Mailing address
7444 LONG AVE, SKOKIE, IL 60077-3214
(847) 329-4100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-5460
MEDICARE ID
—
Enumeration date
11/19/2010
Last updated
03/15/2016
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