College St Healthcare LLC

NPI #1275217325 in Liberty, Missouri

Provider Information

NPI Number
1275217325
Entity Type
Organization
Organization Name
College St Healthcare LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 9, 2023
Last Updated
Jun 9, 2023

Practice Location

Address
1200 W COLLEGE ST
ZIP Code
64068-1036
Phone
(816) 781-3020

Authorized Official

Name
WILLIAM MILLER
Title
AUTHORIZED PERSON
Phone
(253) 268-2410

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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