Citizens Memorial Health Care Foundation

NPI #1134109713 in Stockton, Missouri

Provider Information

NPI Number
1134109713
Entity Type
Organization
Organization Name
Citizens Memorial Health Care Foundation
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 19, 2006
Last Updated
Dec 11, 2011

Practice Location

Address
811 OWENS MILL RD
ZIP Code
65785
Phone
(417) 276-5126

Authorized Official

Name
MR. KEVIN COSTELLO
Title
ADMINISTRATOR
Phone
(417) 276-5126

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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