Licking No 1 LLC
NPI #1912424607 in Licking, Missouri
Provider Information
- NPI Number
- 1912424607
- Entity Type
- Organization
- Organization Name
- Licking No 1 LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 24, 2017
- Last Updated
- Aug 24, 2018
Practice Location
Authorized Official
- Name
- MR. DONALD B BEDELL
- Title
- PRESIDENT
- Phone
- (573) 471-1276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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