Organization
N & R OF ST CHARLES LLC
Active
Other names
Lewis & Clark Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HEDRICK CFO (CFO)
(573) 481-9625
Entity
Organization
Contact information
Practice address
1221 BOONES LICK RD, SAINT CHARLES, MO 63301-2328
(636) 946-6140
(636) 757-1141
Mailing address
PO BOX 1559, SIKESTON, MO 63801-1559
(573) 481-9625
(573) 481-0773
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
101482206
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101482206
—
MO
Enumeration date
02/01/2013
Last updated
09/15/2025
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