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NPI Code Detail

MEDICARE: ANDREW COUNTY NURSING HOME DISTRICT

MEDICARE: ANDREW 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 Facility

General Provider Information

NPI Number : 1962259895
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDREW COUNTY NURSING HOME DISTRICT
Provider Business Mailing Address
First Line : 13277 STATE ROUTE D
Second Line :
City : SAVANNAH
State : MO
Zip : 64485-9431
Country : US
Telephone Number : 816-262-4749
Fax Number :
Provider Business Practice Location Address
First Line : 13277 STATE ROUTE D
Second Line :
City : SAVANNAH
State : MO
Zip : 64485-9431
Country : US
Telephone Number : 816-262-4749
Fax Number :
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : LESLIE WHEELER
Credential :
Telephone Number : 816-262-4749
Provider Enumeration Date : 04/30/2024
Last Update Date : 04/30/2024

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Directions to “ANDREW COUNTY NURSING HOME DISTRICT ” Practice Location

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