Organization
TRI COUNTY NURSING HOME DISTRICT
Active
Other names
Tri County Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY LOUISE KAMPETER (ADMINISTRATOR)
(573) 594-6467
Entity
Organization
Contact information
Practice address
601 N GALLOWAY RD, VANDALIA, MO 63382-1252
(573) 594-6467
(573) 594-3863
Mailing address
601 N GALLOWAY RD, VANDALIA, MO 63382-1252
(573) 594-6467
(573) 594-3863
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
029359
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101477503
—
MO
Enumeration date
11/11/2005
Last updated
08/19/2008
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