Madison Medical Center Stockhoff Memorial Nursing Home
NPI #1316013139 in Fredericktown, Missouri
Provider Information
- NPI Number
- 1316013139
- Entity Type
- Organization
- Organization Name
- Madison Medical Center Stockhoff Memorial Nursing Home
- Primary Specialty
- Medicare Defined Swing Bed Unit
- Enumeration Date
- Nov 24, 2006
- Last Updated
- Jul 30, 2008
Practice Location
- Address
- 611 WEST MAIN STREET
- City
- Fredericktown
- State
- Missouri
- ZIP Code
- 63645
- Phone
- (573) 783-3341
Authorized Official
- Name
- MRS. LISA MARIE TWIDWELL
- Title
- CFO
- Phone
- (573) 783-3341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medicare Defined Swing Bed Unit |
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