Springfield Residential Center , Inc.

NPI 1184653297 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1184653297
Enumeration Date 07/01/2006
Last Updated 12/08/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRIAN O. BRIAN
Position ADMINISTRATOR
Phone (417) 864-4545
Fax (417) 864-4768
Practice Location
2401 W GRAND ST
SPRINGFIELD MO, 65802-4967, US
Phone (417) 864-4545
Fax (417) 864-4768
Business Location
2401 W GRAND ST
SPRINGFIELD MO, 65802-4967, US
Phone (417) 864-4545
Fax (417) 864-4768
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Springfield Residential Center , Inc. NPI is 1184653297, taxonomy code is 314000000X Springfield Residential Center , Inc. physically located at 2401 W Grand St, Springfield MO, 65802-4967. NPI Number 1033115704 has the healthcare provider type.

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1184653297 NPI number is provided on an as is basis without warranty of any kind. 1184653297 is maintained by the National Plan & Provider Enumeration System. The contents of Springfield Residential Center , Inc. are for informational purposes only.