Organization
N & R OF MILAN
Active
Other names
Milan Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HUDSPETH (COO CFO)
(573) 392-0316
Entity
Organization
Contact information
Practice address
52435 INFIRMARY RD, MILAN, MO 63556-2874
(573) 265-4032
(573) 265-4562
Mailing address
52435 INFIRMARY RD, MILAN, MO 63556-2874
(573) 265-4032
(573) 265-4562
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031133
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101450005
—
MO
01
—
16877985
STATE ID
MO
Enumeration date
09/22/2005
Last updated
02/13/2009
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