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Organization

CHRISTIAN HEALTH CARE OF SPRINGFIELD WEST PARK, INC

Active
Other names
Brookhaven Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PHYLLIS A STAYTON R.N. (DIRECTOR OF CLINICAL SERVICES)
(417) 343-5401
Entity
Organization

Contact information

Practice address
3405 W MOUNT VERNON ST, SPRINGFIELD, MO 65802-5241
(417) 874-9600
(417) 874-9601
Mailing address
222 S 1ST ST, ROGERS, AR 72756-4504
(479) 464-0200
(479) 464-8098

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101451110
MO
Enumeration date
02/17/2010
Last updated
11/28/2011
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