Good Samaritan Nursing Home District

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NPI Provider: 1003817248
Contact Name: Stelling Nell Donna
Position: Administrator
Phone: (660) 668-4515

Good Samaritan Nursing Home District Information:

Good Samaritan Nursing Home District organization have npi 1003817248, taxonomy code is 314000000X with license number is 29352 in . This Business address located in 403 W Main St, Cole Camp, MO 65325 Missouri.

Practice Location
Address: 403 W Main St, Cole Camp, MO 65325
Phone: (660) 668-4515

Business Location
Address: 403 W Main St, Cole Camp, MO 65325
Phone: (660) 668-4515
Fax: (660) 668-4975

Taxonomy

Taxonomy Code: 314000000X

License Number: 29352

License Number of State: MO

Primary Taxonomy Switch: Y

Enumeration Date: 8/10/2005

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