Portageville Nursing and Rehabilitation, LLC
NPI #1336575752 in Portageville, Missouri
Provider Information
- NPI Number
- 1336575752
- Entity Type
- Organization
- Organization Name
- Portageville Nursing and Rehabilitation, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 17, 2013
- Last Updated
- Nov 5, 2013
Practice Location
- Address
- 290 W STATE HIGHWAY 162
- City
- Portageville
- State
- Missouri
- ZIP Code
- 63873-9397
- Phone
- (573) 379-2017
Authorized Official
- Name
- MR. MICHAEL A RICH
- Title
- PRESIDENT
- Phone
- (940) 387-4388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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