Organization
COMMUNITY CARE CENTER OF MARK TWAIN INC
Active
Other names
Mark Twain Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTINA M GIARDINA (PRESIDENT)
(636) 394-3000
Entity
Organization
Contact information
Practice address
11988 MARK TWAIN LN, BRIDGETON, MO 63044-2825
(314) 291-8240
(314) 209-9426
Mailing address
437 SOVEREIGN CT, BALLWIN, MO 63011-4432
(636) 394-3000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030955
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101497402
—
MO
Enumeration date
09/02/2005
Last updated
03/04/2021
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