Mma Healthcare of Viburnum, Inc.

NPI #1366499196 in Viburnum, Missouri

Provider Information

NPI Number
1366499196
Entity Type
Organization
Organization Name
Mma Healthcare of Viburnum, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 27, 2006
Last Updated
Nov 8, 2019

Practice Location

Address
2 HIGHWAY Y
ZIP Code
65566-9701
Phone
(573) 244-3171

Authorized Official

Name
RICHARD J. DESTEFANE
Title
PRESIDENT
Phone
(314) 543-3816

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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