Organization
INDIVIDUAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN GHIRARDI RN, BSN (EASTERN REGIONAL DISTRICT MANAGER)
(314) 220-0928
Entity
Organization
Contact information
Practice address
1019 WESTSIDE DR, CUBA, MO 65453-1025
(573) 885-1607
(573) 885-0428
Mailing address
7933 ELMONT RD, SULLIVAN, MO 63080-3601
(314) 220-0928
(573) 885-0428
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
2010024399
MO
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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