Eldercare Of Marble Hill, LLC
Skilled Nursing Facility in Marble Hill, MO. Organization (NPI-2).
NPI number1902803232
StatusActive
Last updated in NPPESDec 1, 2020
Details
- NPI
- 1902803232
- Entity type
- Organization (NPI-2)
- Legal business name
- Eldercare Of Marble Hill, LLC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2005
- Certification date
- Dec 1, 2020
- Last updated
- Dec 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Stonebridge Marble Hill (Doing Business As)
Practice location
702 Highway 34 WMarble Hill, MO 63764-4301
Phone 573-238-2614 · Fax 573-238-9835
Mailing address
702 Highway 34 WMarble Hill, MO 63764-4301
Phone 636-477-3280 · Fax 636-477-3241
Authorized official
Mark Lierman
Authorized Official
6364773280
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