Portageville Health Care Center, L.l.c.
NPI #1912453986 in Portageville, Missouri
Provider Information
- NPI Number
- 1912453986
- Entity Type
- Organization
- Organization Name
- Portageville Health Care Center, L.l.c.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 30, 2016
- Last Updated
- Aug 30, 2016
Practice Location
- Address
- 290 W STATE HIGHWAY 162
- City
- Portageville
- State
- Missouri
- ZIP Code
- 63873-9397
- Phone
- (573) 379-2017
Authorized Official
- Name
- RICHARD J. DESTEFANE
- Title
- PRESIDENT
- Phone
- (314) 543-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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