Organization
ELDERCARE OF MID-MISSOURI X, INC
Active
Other names
StoneBridge Adams Street
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LIERMAN (AUTHORIZED OFFICIAL)
(636) 477-3280
Entity
Organization
Contact information
Practice address
1024 ADAMS ST, JEFFERSON CITY, MO 65101-3408
(573) 635-1320
(573) 634-3944
Mailing address
1024 ADAMS ST, JEFFERSON CITY, MO 65101-3408
(636) 477-3280
(636) 477-3241
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
MO
Other
Enumeration date
02/15/2011
Last updated
12/01/2020
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