NPI | 1639165020 |
---|---|
Doing Business As | CROWLEY RIDGE CARE CENTER |
Entity Type | Organization |
Authorized Contact | THOMAS HUDSPETH COO CFO 573-392-0316 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 030780) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2020-08-22 |