Organization
N & R OF SOUTH HAMPTON, LLC
Active
Other names
South Hampton Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HUDSPETH (COO CFO)
(573) 392-0316
Entity
Organization
Contact information
Practice address
4700 BRANDON WOODS ST, COLUMBIA, MO 65203-7169
(573) 874-3674
(573) 874-3479
Mailing address
4700 BRANDON WOODS ST, COLUMBIA, MO 65203-7169
(573) 874-3674
(573) 874-3479
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030432
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107910507
—
MO
01
—
18014275
STATE ID
MO
Enumeration date
09/22/2005
Last updated
12/29/2009
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