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General NPI Number Information
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NPI Number | 1831225259
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Entity Type | Organization
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Legal Business Name | ELSBERRY MISSOURI HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1827 HWY B
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City | ELSBERRY
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State | MO
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Zip | 63343
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Country | US
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Telephone | 573-898-2880
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Fax | 573-898-5004
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Provider Business Mailing Address
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Address Line | 1827 HWY B
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City | ELSBERRY
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State | MO
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Zip | 63343
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Country | US
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Telephone | 573-898-2880
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Fax | 573-898-5004
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CHRISTINA M KUNTZ
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Credential | RN, LNHA
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Telephone | 573-898-2880
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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 | 036036
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License Number State | MO
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