N & R Of St Charles LLC
Skilled Nursing Facility in Saint Charles, MO. Organization (NPI-2).
NPI number1780923318
StatusActive
Last updated in NPPESSep 15, 2025
Details
- NPI
- 1780923318
- Entity type
- Organization (NPI-2)
- Legal business name
- N & R Of St Charles LLC
- Organization subpart
- No
- Enumeration date
- Feb 1, 2013
- Certification date
- Sep 15, 2025
- Last updated
- Sep 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 101482206 | MO | Yes |
Other names
- Lewis & Clark Gardens (Doing Business As)
Practice location
1221 Boones Lick RdSaint Charles, MO 63301-2328
Phone 636-946-6140 · Fax 636-757-1141
Mailing address
Po Box 1559Sikeston, MO 63801-1559
Phone 573-481-9625 · Fax 573-481-0773
Authorized official
Carla Hedrick
Cfo
5734819625
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