Organization
N & R OF COLUMBIA, LLC
Active
Other names
Parkside Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HEDRICK CFO (CFO)
(573) 481-9625
Entity
Organization
Contact information
Practice address
1201 HUNT AVENUE, COLUMBIA, MO 65202-1367
(573) 449-1448
(573) 443-2591
Mailing address
1201 HUNT AVE, COLUMBIA, MO 65202-1367
(573) 449-1448
(573) 443-2591
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
034974
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102234507
—
MO
Enumeration date
10/02/2006
Last updated
09/15/2025
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