Community Care Ctr of Sullivan, INC

NPI #1063419505 in Sullivan, Missouri

Provider Information

NPI Number
1063419505
Entity Type
Organization
Organization Name
Community Care Ctr of Sullivan, INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 30, 2005
Last Updated
Mar 4, 2021

Practice Location

Address
940 MATTOX DR
ZIP Code
63080-2364
Phone
(573) 468-7733

Authorized Official

Name
CHRISTINA M GIARDINA
Title
PRESIDENT
Phone
(636) 394-3000

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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