Prairie View Skilled Nursing LLC
NPI #1477008779 in Bloomfield, Missouri
Provider Information
- NPI Number
- 1477008779
- Entity Type
- Organization
- Organization Name
- Prairie View Skilled Nursing LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 17, 2016
- Last Updated
- Apr 8, 2024
Practice Location
- Address
- 606 W MISSOURI ST
- City
- Bloomfield
- State
- Missouri
- ZIP Code
- 63825-9706
- Phone
- (573) 568-2137
Authorized Official
- Name
- MR. BENJAMIN P SELLS
- Title
- CEO
- Phone
- (573) 703-3049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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