Four Seasons Living Center, LLC

NPI #1699803999 in Sedalia, Missouri

Provider Information

NPI Number
1699803999
Entity Type
Organization
Organization Name
Four Seasons Living Center, LLC
Primary Specialty
Nurse's Aide
Enumeration Date
Mar 1, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
2800 HIGHWAY TT
ZIP Code
65301-1410
Phone
(660) 826-8803

Authorized Official

Name
RICHARD JOSEPH DESTEFANE
Title
PRESIDENT
Phone
(314) 543-3800

Specialties & Taxonomy Codes

Specialty
Nurse's Aide

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