COMMUNITY CARE CTR OF SULLIVAN, INC

Skilled Nursing Facility

Active Organization
NPI: 1063419505

Practice Address

940 MATTOX DR
Sullivan, MO 63080

Phone: (573) 468-7733

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes 033721 (MO)

Frequently Asked Questions

NPI 1063419505 is the National Provider Identifier for COMMUNITY CARE CTR OF SULLIVAN, INC, a Skilled Nursing Facility provider located in Sullivan, MO. This NPI was enumerated on June 30, 2005.

Quick Facts

NPI
1063419505
Type
Organization
Enumerated
Jun 30, 2005
Last Updated
Mar 4, 2021

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