Organization
PUTNAM COUNTY NURSING HOME
Active
Other names
Putnam County Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
PASSION R WYANT (ADMINISTRATOR)
(660) 947-2492
Entity
Organization
Contact information
Practice address
1814 OAK ST, UNIONVILLE, MO 63565-1275
(660) 947-2492
Mailing address
1814 OAK ST, UNIONVILLE, MO 63565-1275
(660) 947-2492
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
036509
MO
385H00000X
Respite Care
06516
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101493807
—
MO
Enumeration date
03/10/2009
Last updated
03/10/2009
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