Ggnsc St. James Llc

NPI 1487605986 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1487605986
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) 265-8921
Fax (573) 265-8965
Practice Location
415 SIDNEY ST
SAINT JAMES MO, 65559-1070, US
Phone (573) 265-8921
Fax (573) 265-8965
Business Location
415 SIDNEY ST
SAINT JAMES MO, 65559-1070, US
Phone (573) 265-8921
Fax (573) 265-8965
Toxanomy
Taxonomy Code 314000000X
License State Missouri
License Number 031429
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According to our database, Ggnsc St. James Llc NPI is 1487605986, taxonomy code is 314000000X and license number is 031429, license state is located at Missouri. Ggnsc St. James Llc physically located at 415 Sidney St, Saint James MO, 65559-1070. NPI Number 1033115704 has the healthcare provider type.

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1487605986 NPI number is provided on an as is basis without warranty of any kind. 1487605986 is maintained by the National Plan & Provider Enumeration System. The contents of Ggnsc St. James Llc are for informational purposes only.