Organization
GIDEON CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA RENEE JONES OWNER (ADMINISTRATOR)
(573) 448-3505
Entity
Organization
Contact information
Practice address
300 S LUNBECK AVE, GIDEON, MO 63848-9211
(573) 448-3505
(573) 448-3787
Mailing address
PO BOX 197, FOURTH & LUNBECK, GIDEON, MO 63848-0197
(573) 448-3505
(573) 448-3787
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031090
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102757408
—
MO
Enumeration date
03/31/2006
Last updated
05/02/2024
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