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Organization

N & R OF MALDEN, LLC

Active
Other names
Malden Nursing & Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES C LINCOLN (SHAREHOLDER)
(573) 746-7100
Entity
Organization

Contact information

Practice address
1209 STOKELAN DR, MALDEN, MO 63863-1335
(573) 276-5115
(573) 276-5292
Mailing address
1209 STOKELAN DR, MALDEN, MO 63863-1335
(573) 276-5115
(573) 246-5292

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030260
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102279700
MO
01
17807701
STATE ID
MO
Enumeration date
09/22/2005
Last updated
11/04/2011
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