Organization
NORTHPORT HEALTH SERVICES OF MISSOURI, LLC
Active
Other names
Joplin Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CODY LONG (CFO)
(205) 391-3600
Entity
Organization
Contact information
Practice address
2218 W 32ND ST, JOPLIN, MO 64804-3514
(417) 623-5264
Mailing address
2218 W 32ND ST, JOPLIN, MO 64804-3514
(417) 623-5264
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102306701
—
MO
Enumeration date
05/26/2006
Last updated
10/09/2020
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