NPI 1043609381

Sunshine Rc LLC

Organisation Custodial Care Facility Bourbon, MO

Practice location

Address: 541 Rock Rd, Bourbon, MO 65441-6324
Phone: (573) 732-5366
Mailing address: PO Box 67, Bourbon, MO 65441-0067

Authorised official

Name: David Nolting
Title: Manager
Phone: (573) 732-5366

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 042582 (MO)

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Registry record

NPI: 1043609381
Entity type: Organization
NPI issued: 9 Jan 2015
Record last updated: 9 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.