Community Care Center of Licking INC
NPI #1609996222 in Licking, Missouri
Provider Information
- NPI Number
- 1609996222
- Entity Type
- Organization
- Organization Name
- Community Care Center of Licking INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Jan 10, 2008
Practice Location
Authorized Official
- Name
- MR. JAMES J GIARDINA
- Title
- PRESIDENT
- Phone
- (636) 394-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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