Organization
MOORE-PIKE NURSING HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA EARLENE MOORE (OWNER/ADMINISTRATOR)
(573) 324-5281
Entity
Organization
Contact information
Practice address
300 S SAINT CHARLES ST, BOWLING GREEN, MO 63334-2221
(573) 324-5281
(573) 324-6332
Mailing address
300 S SAINT CHARLES ST, BOWLING GREEN, MO 63334-2221
(573) 324-5281
(573) 324-6332
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
029652
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026666500
—
MO
Enumeration date
09/26/2005
Last updated
09/15/2011
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