Organization
SPRINGFIELD HEALTHCARE CENTER LLC
Active
Other names
Springfield Skilled Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W. REDMAN (OWNER)
(816) 415-9700
Entity
Organization
Contact information
Practice address
2401 W GRAND ST, SPRINGFIELD, MO 65802-4967
(417) 864-4545
(417) 869-4524
Mailing address
9420 LIBERTY DR, PLEASANT VALLEY, MO 64068-7757
(816) 415-9700
(816) 415-9770
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
036662
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102500303
—
MO
Enumeration date
06/17/2009
Last updated
06/17/2009
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