Organization
N & R OF ADVANCE, INC.
Active
Other names
Advance Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HUDSPETH (COO CFO)
(573) 392-0316
Entity
Organization
Contact information
Practice address
315 S TILLEY ST, ADVANCE, MO 63730-7230
(573) 722-3440
(573) 722-3441
Mailing address
315 S TILLEY ST, ADVANCE, MO 63730-7230
(573) 722-3440
(573) 722-3441
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030821
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16878043
STATE ID
MO
Enumeration date
09/21/2005
Last updated
09/06/2007
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