Christian Health Care Of Hermitage, INC.
Skilled Nursing Facility in Hermitage, MO. Organization (NPI-2).
NPI number1720160153
StatusActive
Last updated in NPPESAug 19, 2011
Details
- NPI
- 1720160153
- Entity type
- Organization (NPI-2)
- Legal business name
- Christian Health Care Of Hermitage, INC.
- Organization subpart
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Aug 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 032608 | MO | Yes |
Practice location
Hwy 54 And 1st StHermitage, MO 65668
Phone 417-745-2111 · Fax 417-745-2211
Mailing address
222 S 1st StRogers, AR 72756-4504
Phone 479-464-0200 · Fax 479-464-8098
Authorized official
Thomas Stayton
President
4178919939
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