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NPI Code Detail

MEDICARE: MONROE COUNTY NURSING HOME DISTRICT

MEDICARE: MONROE COUNTY NURSING HOME DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility314000000XMO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053313932
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONROE COUNTY NURSING HOME DISTRICT
Provider Business Mailing Address
First Line : 200 SOUTH ST
Second Line :
City : PARIS
State : MO
Zip : 65275-1165
Country : US
Telephone Number : 660-327-4125
Fax Number : 660-327-5264
Provider Business Practice Location Address
First Line : 200 SOUTH ST
Second Line :
City : PARIS
State : MO
Zip : 65275-1165
Country : US
Telephone Number : 660-327-4125
Fax Number : 660-327-5264
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. SHARI LYNNE EMBREE
Credential :
Telephone Number : 660-327-4125
Provider Enumeration Date : 08/11/2005
Last Update Date : 11/29/2011

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Directions to “MONROE COUNTY NURSING HOME DISTRICT ” Practice Location

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