Lightning Creek Investment Group,inc

NPI 1265422331 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1265422331
Enumeration Date 10/28/2005
Last Updated 07/14/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JULIE M JULIE
Position ADMINISTRATOR
Phone (660) 548-3182
Fax (660) 548-3813
Practice Location
721 W HARRISON ST
BRUNSWICK MO, 65236, US
Phone (660) 548-3182
Fax (660) 548-3813
Business Location
721 W HARRISON ST
BRUNSWICK MO, 65236, US
Phone (660) 548-3182
Fax (660) 548-3813
Toxanomy
Taxonomy Code 314000000X
License State Missouri
License Number 034138
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According to our database, Lightning Creek Investment Group,inc NPI is 1265422331, taxonomy code is 314000000X and license number is 034138, license state is located at Missouri. Lightning Creek Investment Group,inc physically located at 721 W Harrison St, Brunswick MO, 65236. NPI Number 1033115704 has the healthcare provider type.

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1265422331 NPI number is provided on an as is basis without warranty of any kind. 1265422331 is maintained by the National Plan & Provider Enumeration System. The contents of Lightning Creek Investment Group,inc are for informational purposes only.