Organization
WARRENSBURG 1 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFF SHIRRELL (VICE PRESIDENT)
(573) 471-1276
Entity
Organization
Contact information
Practice address
706 S MITCHELL ST, WARRENSBURG, MO 64093
(660) 429-2177
Mailing address
PO BOX 1210, SIKESTON, MO 63801-1210
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
046541
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101457505
—
MO
Enumeration date
07/07/2006
Last updated
08/24/2018
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