Organization
CATHEDRALROCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT HARRINGTON (PRESIDENT)
(817) 335-4111
Entity
Organization
Contact information
Practice address
615 RANCHO LN, FLORISSANT, MO 63031-1717
(314) 839-2150
(314) 839-8736
Mailing address
306 W 7TH ST, 415 FORT WORTH CLUB BLDG, FORT WORTH, TX 76102-4900
(817) 335-4111
(817) 335-0800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
029559
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17806445
—
MO
01
—
MO02585
FACILITY ID NUMBER
MO
Enumeration date
09/22/2005
Last updated
08/22/2020
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