Organization
ASHLAND NURSING & REHAB LLC
Active
Other names
Ashland Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES C LINCOLN (MEMBER)
(573) 481-9625
Entity
Organization
Contact information
Practice address
300 S HENRY CLAY BLVD, ASHLAND, MO 65010-9438
(573) 657-2877
(573) 657-4189
Mailing address
300 S HENRY CLAY BLVD, ASHLAND, MO 65010-9438
(573) 657-2877
(573) 657-4189
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031363
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103733507
—
MO
01
—
18014160
STATE ID
MO
Enumeration date
09/21/2005
Last updated
05/15/2014
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