Knox County Nursing Home District

NPI 1215928130 - Assisted Living Facility - 310400000X

NPI Details
NPI 1215928130
Enumeration Date 10/31/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name TIM TIM
Position ADMINISTRATOR
Phone (660) 397-2282
Fax (660) 397-2284
Practice Location
RR 3 BOX 53
EDINA MO, 63537-9677, US
Phone (660) 397-2282
Fax (660) 397-2284
Business Location
RR 3 BOX 53
EDINA MO, 63537-9677, US
Phone (660) 397-2282
Fax (660) 397-2284
Toxanomy
Taxonomy Code 310400000X
License State Missouri
License Number 030962
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According to our database, Knox County Nursing Home District NPI is 1215928130, taxonomy code is 310400000X and license number is 030962, license state is located at Missouri. Knox County Nursing Home District physically located at Rr 3 Box 53, Edina MO, 63537-9677. NPI Number 1033115704 has the healthcare provider type.

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1215928130 NPI number is provided on an as is basis without warranty of any kind. 1215928130 is maintained by the National Plan & Provider Enumeration System. The contents of Knox County Nursing Home District are for informational purposes only.