Mountain Grove 2 INC
NPI #1669404638 in Mountain Grove, Missouri
Provider Information
- NPI Number
- 1669404638
- Entity Type
- Organization
- Organization Name
- Mountain Grove 2 INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 7, 2006
- Last Updated
- Apr 30, 2021
Practice Location
- Address
- 1310 N HOVIS ST
- City
- Mountain Grove
- State
- Missouri
- ZIP Code
- 65711-1219
- Phone
- (417) 926-5128
Authorized Official
- Name
- DONALD B BEDELL
- Title
- PRESIDENT
- Phone
- (573) 471-1276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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