Organization
REGIONAL CARE OF SPRINGFIELD WEST PARK, LLC
Active
Other names
Brookhaven Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CODY LONG (CFO)
(479) 464-0200
Entity
Organization
Contact information
Practice address
3405 W MOUNT VERNON ST, SPRINGFIELD, MO 65802-5241
(417) 874-9600
(417) 874-9601
Mailing address
222 S 1ST ST, ROGERS, AR 72756-4504
(479) 464-0200
(479) 464-8098
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
038075
MO
Other
Enumeration date
02/04/2011
Last updated
11/07/2014
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