Organization
WELLSVILLE HEALTH CARE CENTER, L.L.C.
Active
Other names
Wellsville Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J. DESTEFANE (PRESIDENT)
(314) 543-3816
Entity
Organization
Contact information
Practice address
250 E LOCUST ST, WELLSVILLE, MO 63384-1422
(573) 684-2002
Mailing address
1869 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122
(314) 543-3816
(314) 226-1736
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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