Organization
PARKSIDE MEADOWS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY CEARNAL (VP OF FINANCE & TECHNOLOGY)
(636) 946-4966
Entity
Organization
Contact information
Practice address
2150 W RANDOLPH ST, SAINT CHARLES, MO 63301-0844
(636) 946-4966
(636) 946-0214
Mailing address
2150 W RANDOLPH ST, SAINT CHARLES, MO 63301-0844
(636) 946-4966
(636) 946-0214
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031754
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101492908
—
MO
Enumeration date
09/27/2005
Last updated
11/21/2011
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