| NPI | 1861594004 |
|---|---|
| Doing Business As | PEMISCOT COUNTY NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | KERRY NOBLE CEO 573-359-3612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2011-11-02 |