Ggnsc Bloomfield Llc

NPI 1477504934 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1477504934
Enumeration Date 05/12/2006
Last Updated 07/16/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HOLLY A. HOLLY
Position SECRETARY
Phone (573) 568-2137
Fax (573) 568-9906
Practice Location
606 W MISSOURI ST
BLOOMFIELD MO, 63825-9706, US
Phone (573) 568-2137
Fax (573) 568-9906
Business Location
606 W MISSOURI ST
BLOOMFIELD MO, 63825-9706, US
Phone (573) 568-2137
Fax (573) 568-9906
Toxanomy
Taxonomy Code 314000000X
License State Missouri
License Number 031399
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According to our database, Ggnsc Bloomfield Llc NPI is 1477504934, taxonomy code is 314000000X and license number is 031399, license state is located at Missouri. Ggnsc Bloomfield Llc physically located at 606 W Missouri St, Bloomfield MO, 63825-9706. NPI Number 1033115704 has the healthcare provider type.

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1477504934 NPI number is provided on an as is basis without warranty of any kind. 1477504934 is maintained by the National Plan & Provider Enumeration System. The contents of Ggnsc Bloomfield Llc are for informational purposes only.