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Eldercare of Mid-Missouri Iv, Inc.

NPI #1487811436 in De Soto, Missouri

Provider Information

NPI Number
1487811436
Entity Type
Organization
Organization Name
Eldercare of Mid-Missouri Iv, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 19, 2008
Last Updated
Dec 1, 2020

Practice Location

Address
1550 VILLA DR
City
De Soto
State
Missouri
ZIP Code
63020-2586
Phone
(636) 586-6559

Authorized Official

Name
MR. MARK LIERMAN
Title
SECRETARY - TREASURER
Phone
(636) 477-3280

Specialties & Taxonomy Codes

Specialty
Nursing Care
Skilled Nursing Facility

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