Organization
MONTEREY PARK NURSING CENTER, INC
Active
Other names
Monterey Park Rehabilitation & Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C TUTERA (PRESIDENT, CEO)
(816) 444-0900
Entity
Organization
Contact information
Practice address
4600 LITTLE BLUE PKWY, INDEPENDENCE, MO 64057-8302
(816) 795-7888
(816) 268-9981
Mailing address
4600 LITTLE BLUE PKWY, INDEPENDENCE, MO 64057-8302
(816) 795-7888
(816) 268-9981
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
027551
MO
335E00000X
Prosthetic/Orthotic Supplier
027551
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102894805
—
MO
Enumeration date
07/21/2005
Last updated
09/19/2024
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