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Organization

JEFFERSON HEALTH CARE INC

Active
Other names
Jefferson Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
CLIFF SHIRRELL (VICE PRESIDENT)
(573) 471-1276
Entity
Organization

Contact information

Practice address
615 SW OLDHAM PKWY, LEES SUMMIT, MO 64081-2602
(816) 524-3328
Mailing address
PO BOX 1210, SIKESTON, MO 63801-1210

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
045063
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101456705
MO
Enumeration date
07/07/2006
Last updated
03/27/2017
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