INDIVIDUAL

CUBA, MO
NPI1952724932
Entity TypeOrganization
Authorized ContactKIMBERLY ANN GHIRARDI
Eastern Regional District Manager
314-220-0928
Organization Subpart ?No
Primary Taxonomy251J00000X Nursing Care
(Licence: MO  2010024399)
Enumeration Date2014-01-28
Last Update Date2014-01-28
Business Address
INDIVIDUAL
1019 WESTSIDE DR
CUBA, MO 65453-1025
Phone number: 573-885-1607
Mailing Address
INDIVIDUAL
7933 ELMONT RD
SULLIVAN, MO 63080-3601
Phone number: 314-220-0928