Organization
N & R OF REPUBLIC LLC
Active
Other names
Sonshine Manor
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HUDSPETH (COO/CFO)
(573) 481-9625
Entity
Organization
Contact information
Practice address
300 S COTTONWOOD AVE, REPUBLIC, MO 65738-2093
(417) 732-2929
(417) 732-9913
Mailing address
300 S COTTONWOOD AVE, REPUBLIC, MO 65738-2093
(417) 732-2929
(417) 732-9913
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
033586
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103634408
—
MO
05
—
263634404
—
MO
Enumeration date
02/05/2007
Last updated
06/30/2008
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