Healthcare Provider Details

I. General information

NPI: 1356625685
Provider Name (Legal Business Name): ROCK POINT NURSING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2011
Last Update Date: 01/08/2021
Certification Date: 11/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8477 NORTH STREET
BIRCH TREE MO
65438-9215
US

IV. Provider business mailing address

8477 NORTH STREET
BIRCH TREE MO
65438-9215
US

V. Phone/Fax

Practice location:
  • Phone: 573-292-3212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: BEN PACK SELLS
Title or Position: PRESIDENT
Credential:
Phone: 573-614-7472