Lightning Creek Investment Group,inc
Skilled Nursing Facility in Brunswick, MO. Organization (NPI-2).
NPI number1265422331
StatusActive
Last updated in NPPESJul 14, 2008
Details
- NPI
- 1265422331
- Entity type
- Organization (NPI-2)
- Legal business name
- Lightning Creek Investment Group,inc
- Organization subpart
- No
- Enumeration date
- Oct 28, 2005
- Last updated
- Jul 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 034138 | MO | Yes |
Other names
- Brunswick Nursing Home (Doing Business As)
Practice location
721 W Harrison StBrunswick, MO 65236
Phone 660-548-3182 · Fax 660-548-3813
Mailing address
721 W Harrison StBrunswick, MO 65236
Phone 660-548-3182 · Fax 660-548-3813
Authorized official
Julie M Reichert
Administrator
6605483182
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