OTKE-VILLA LLC

JEFFERSON CITY, MO
NPI1730131897
Entity TypeOrganization
Authorized ContactTOM OTKE
Member
573-659-6607
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: MO  032359)
Enumeration Date2006-05-17
Last Update Date2020-08-22
Business Address
OTKE-VILLA LLC
1030 EDMONDS ST
JEFFERSON CITY, MO 65109-5213
Phone number: 573-635-3381
Mailing Address
OTKE-VILLA LLC
1030 EDMONDS ST
JEFFERSON CITY, MO 65109-5213
Phone number: 573-635-3381
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