Organization
WASHINGTON N & R, LLC
Active
Other names
Cedarcrest Manor
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C LINCOLN (MEMBER)
(573) 746-7100
Entity
Organization
Contact information
Practice address
324 W 5TH ST, WASHINGTON, MO 63090-2306
(636) 239-7848
(636) 239-0028
Mailing address
324 W 5TH ST, WASHINGTON, MO 63090-2306
(636) 239-7848
(636) 239-0028
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030532
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101450609
—
MO
01
—
17340829
STATE ID
MO
Enumeration date
09/21/2005
Last updated
10/31/2011
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