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General NPI Number Information
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NPI Number | 1669457701
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Entity Type | Organization
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Legal Business Name | STEELVILLE COMMUNITY SERVICES INC.
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 06/08/2010
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Provider Practice Location Address
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Address Line | 311 N SPRING ST
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City | STEELVILLE
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State | MO
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Zip | 65565-5089
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Country | US
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Telephone | 573-775-5815
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Fax | 573-775-4072
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Provider Business Mailing Address
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Address Line | 311 N SPRING ST
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City | STEELVILLE
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State | MO
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Zip | 65565-5089
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Country | US
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Telephone | 573-775-5815
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Fax | 573-775-4072
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. LARRY G. HOWDESHELL JR.
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Credential |
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Telephone | 573-775-5815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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