Healthcare Provider Details

I. General information

NPI: 1548273790
Provider Name (Legal Business Name): N & R OF WARRENTON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 HIGHWAY AA
WRIGHT CITY MO
63390-3001
US

IV. Provider business mailing address

65 HIGHWAY AA
WRIGHT CITY MO
63390-3001
US

V. Phone/Fax

Practice location:
  • Phone: 636-456-8700
  • Fax: 636-456-4103
Mailing address:
  • Phone: 636-456-8700
  • Fax: 636-456-4103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number033855
License Number StateMO

VIII. Authorized Official

Name: CARLA HEDRICK
Title or Position: CFO
Credential: CFO
Phone: 573-481-9625