Organization
SENIORTRUST OF COLUMBIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WEBB (PRESIDENT)
(615) 890-2020
Entity
Organization
Contact information
Practice address
1801 TOWNE DR, COLUMBIA, MO 65202-2337
(573) 474-6111
Mailing address
1801 TOWNE DR, COLUMBIA, MO 65202-2337
(573) 474-6111
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031176
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144819
BCBS
MO
Enumeration date
06/18/2006
Last updated
08/22/2020
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