Organization
SALT RIVER NURSING HOME DISTRICT
Active
Other names
Salt River Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH YOUSE (ADMINISTRATOR)
(573) 588-4175
Entity
Organization
Contact information
Practice address
142 SHELBY PLAZA RD, SHELBINA, MO 63468-1065
(573) 588-4175
(573) 588-2020
Mailing address
142 SHELBY PLAZA RD, SHELBINA, MO 63468-1065
(573) 588-4175
(573) 588-2020
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030709
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101776904
—
MO
Enumeration date
09/08/2005
Last updated
02/17/2010
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