Five Star Quality Care Mo LLC

NPI #1518912732 in Tarkio, Missouri

Provider Information

NPI Number
1518912732
Entity Type
Organization
Organization Name
Five Star Quality Care Mo LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FIVE STAR QUALITY CARE MO LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 24, 2006
Last Updated
May 29, 2008

Practice Location

Address
300 CEDAR ST
City
Tarkio
ZIP Code
64491-1174
Phone
(660) 736-4116

Authorized Official

Name
BRUCE J MACKEY JR.
Title
CEO
Phone
(617) 796-8387

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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