Organization
NEW HAVEN CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY MARIE PATAKY RN, NHA (ADMINISTRATOR)
(573) 237-2103
Entity
Organization
Contact information
Practice address
9503 HIGHWAY 100, NEW HAVEN, MO 63068-1300
(573) 237-2103
(573) 237-3953
Mailing address
9503 HIGHWAY 100, NEW HAVEN, MO 63068-1300
(573) 237-2103
(573) 237-3953
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030642
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101780807
—
MO
Enumeration date
09/30/2005
Last updated
12/07/2011
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