The Estates of Perryville, LLC
NPI #1164826004 in Perryville, Missouri
Provider Information
- NPI Number
- 1164826004
- Entity Type
- Organization
- Organization Name
- The Estates of Perryville, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 21, 2014
- Last Updated
- Oct 22, 2014
Practice Location
- Address
- 430 N WEST ST
- City
- Perryville
- State
- Missouri
- ZIP Code
- 63775-1359
- Phone
- (573) 547-1011
Authorized Official
- Name
- TUVIYAH SPECTOR
- Title
- MANAGING MEMBER
- Phone
- (773) 322-0387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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