Organization
PUXICO 1 INC
Active
Other names
Puxico Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD B BEDELL (PRESIDENT)
(573) 471-1276
Entity
Organization
Contact information
Practice address
540 N HIGHWAY 51, PUXICO, MO 63960-9117
(573) 222-3125
Mailing address
PO BOX 1210, SIKESTON, MO 63801-1210
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
045178
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101456507
—
MO
Enumeration date
07/07/2006
Last updated
08/31/2017
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