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Organization

SPRINGFIELD SNF OPCO LLC

Active
Other names
Springfield Health Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS DESTEFANE (PRESIDENT)
(314) 543-3800
Entity
Organization

Contact information

Practice address
404 E MCCREIGHT AVE, SPRINGFIELD, OH 45503-3653
(937) 399-8311
Mailing address
1869 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
10/14/2025
Last updated
10/14/2025
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