Organization
COLE COUNTY LUTHERAN HOME ASSOCIATION
Active
Other names
Heisinger Lutheran Home
Organization subpart
No
Provider details
NPI number
Authorized official
CHADWICK SNEED (SR VICE PRESIDENT OF FINANCE)
(314) 446-2405
Entity
Organization
Contact information
Practice address
1002 W MAIN ST, JEFFERSON CITY, MO 65109-6901
(573) 636-6288
(573) 636-9306
Mailing address
1150 HANLEY INDUSTRIAL CT, SAINT LOUIS, MO 63144-1910
(314) 968-9313
(314) 968-5590
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031188
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106118508
—
MO
Enumeration date
10/03/2006
Last updated
08/25/2020
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