| NPI | 1770528986 |
|---|---|
| Doing Business As | TIMBERLAKE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | LOREN REA President 816-941-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 034738) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: MO 032111) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: MO 032111) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2013-02-19 |