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NPI Code Detail

MEDICARE: MALDEN N & R LLC

MEDICARE: MALDEN N & R LLC
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 Facility043683MO

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 : 1376098616
Entity Type Code : Organization
Provider Name (Legal Business Name) : MALDEN N & R LLC
Provider Business Mailing Address
First Line : 500 BARRETT DR
Second Line :
City : MALDEN
State : MO
Zip : 63863-1204
Country : US
Telephone Number : 573-276-3843
Fax Number : 573-276-3845
Provider Business Practice Location Address
First Line : 500 BARRETT DR
Second Line :
City : MALDEN
State : MO
Zip : 63863-1204
Country : US
Telephone Number : 573-276-3843
Fax Number : 573-276-3845
Authorized Official
Title or Position : CFO
Name : CARLA HEDRICK
Credential : CFO
Telephone Number : 573-481-9625
Provider Enumeration Date : 08/16/2016
Last Update Date : 10/28/2025

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