Organization
N & R OF CALIFORNIA WEST, LLC
Active
Other names
Moniteau Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C LINCOLN (MEMBER)
(573) 746-7100
Entity
Organization
Contact information
Practice address
200 S GERHART RD, CALIFORNIA, MO 65018-2433
(573) 796-3822
(573) 796-2715
Mailing address
200 S GERHART RD, CALIFORNIA, MO 65018-2433
(573) 796-3822
(573) 796-2715
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031405
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108240706
—
MO
01
—
18014208
STATE ID
MO
Enumeration date
09/22/2005
Last updated
10/31/2011
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