Buffalo Prairie Nursing And Rehab LLC
Skilled Nursing Facility in Buffalo, MO. Organization (NPI-2).
NPI number1013679596
StatusActive
Last updated in NPPESOct 12, 2021
Details
- NPI
- 1013679596
- Entity type
- Organization (NPI-2)
- Legal business name
- Buffalo Prairie Nursing And Rehab LLC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2021
- Certification date
- Sep 27, 2021
- Last updated
- Oct 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Buffalo Prairie Center For Rehab And Healthcare (Doing Business As)
Practice location
631 W Main StBuffalo, MO 65622-7496
Phone 417-345-5422
Mailing address
110 Rockaway Tpke Ste 6Lawrence, NY 11559-1626
Authorized official
Bernard David Perlow
Authorized Official
4439283278
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