Organization
KABUL NURSING HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM COATS (BOARD OF DIRECTORS PRESIDENT)
(417) 962-3713
Entity
Organization
Contact information
Practice address
1000 MAIN ST, CABOOL, MO 65689-9125
(417) 962-3713
(417) 962-4947
Mailing address
1000 MAIN ST, CABOOL, MO 65689-9125
(417) 962-3713
(417) 962-4947
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030908
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101488500
—
MO
01
—
26-5055
OSCAR
MO
Enumeration date
08/02/2006
Last updated
08/20/2020
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