Clinton No 1 INC
Skilled Nursing Facility in Clinton, MO. Organization (NPI-2).
NPI number1033141015
StatusActive
Last updated in NPPESMar 5, 2018
Details
- NPI
- 1033141015
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinton No 1 INC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Mar 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 046098 | MO | Yes |
Practice location
1009 E Ohio StClinton, MO 64735-2455
Phone 660-885-5571
Mailing address
Po Box 1210Sikeston, MO 63801-1210
Authorized official
Donald B Bedell
President
5734711276
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