Organization
CHRISTIAN HEALTH CARE OF SPRINGFIELD WEST PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS STAYTON (PRESIDENT)
(417) 891-9939
Entity
Organization
Contact information
Practice address
3405 W MOUNT VERNON ST, SPRINGFIELD, MO 65802-5241
(417) 891-9939
(417) 891-9928
Mailing address
5302 VILLAGE PKWY, SUITE 1, ROGERS, AR 72758-8102
(479) 464-0200
(479) 464-8098
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
027442
MO
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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