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NPI Code Detail

MEDICARE: MISSOURI VETERANS COMMISSION

MEDICARE: MISSOURI VETERANS COMMISSION
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 FacilityMO

General Provider Information

NPI Number : 1356561328
Entity Type Code : Organization
Provider Name (Legal Business Name) : MISSOURI VETERANS COMMISSION
Provider Business Mailing Address
First Line : 620 N JEFFERSON ST
Second Line :
City : SAINT JAMES
State : MO
Zip : 65559-1926
Country : US
Telephone Number : 573-265-3271
Fax Number : 573-265-5771
Provider Business Practice Location Address
First Line : 620 N JEFFERSON ST
Second Line :
City : SAINT JAMES
State : MO
Zip : 65559-1926
Country : US
Telephone Number : 573-265-3271
Fax Number : 573-265-5771
Authorized Official
Title or Position : ADMINISTRATOR
Name : PATTY FAENGER
Credential :
Telephone Number : 573-265-3271
Provider Enumeration Date : 05/01/2007
Last Update Date : 08/22/2020

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Directions to “MISSOURI VETERANS COMMISSION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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