N & R Of Portageville, Inc.

NPI 1487640777 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1487640777
Enumeration Date 09/22/2005
Last Updated 01/21/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name THOMAS THOMAS
Position COO CFO
Phone (573) 379-2017
Fax (573) 379-2735
Practice Location
290 W STATE HIGHWAY 162
PORTAGEVILLE MO, 63873-9397, US
Phone (573) 379-2017
Fax (573) 379-2735
Business Location
PO BOX 408
PORTAGEVILLE MO, 63873-0408, US
Phone (573) 379-2017
Fax (573) 379-2735
Toxanomy
Taxonomy Code 314000000X
License State Missouri
License Number 030678
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According to our database, N & R Of Portageville, Inc. NPI is 1487640777, taxonomy code is 314000000X and license number is 030678, license state is located at Missouri. N & R Of Portageville, Inc. physically located at 290 W State Highway 162, Portageville MO, 63873-9397. NPI Number 1033115704 has the healthcare provider type.

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1487640777 NPI number is provided on an as is basis without warranty of any kind. 1487640777 is maintained by the National Plan & Provider Enumeration System. The contents of N & R Of Portageville, Inc. are for informational purposes only.