Organization
ROLLA GRAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG SPENCE (OWNER)
(636) 349-2311
Entity
Organization
Contact information
Practice address
1800 WHITE COLUMNS DR, ROLLA, MO 65401-2044
(314) 267-3725
Mailing address
1749 GILSINN LN, FENTON, MO 63026-2008
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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