Organization
MIDWEST HEALTH CARE, LLC
Active
Other names
The Cedargate
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIFI JACOB (MANAGER)
(618) 628-7671
Entity
Organization
Contact information
Practice address
2350 KANELL BLVD, POPLAR BLUFF, MO 63901-4036
(573) 785-0188
(573) 785-7321
Mailing address
2350 KANELL BLVD, POPLAR BLUFF, MO 63901-4036
(573) 785-0188
(573) 785-7321
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
031347
MO
314000000X
Skilled Nursing Facility
Primary
037135
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101482008
—
MO
Enumeration date
03/30/2007
Last updated
08/03/2009
About Stedi
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