Whalio Doctors

NPI 1114272374

Select Rehab

Organisation Skilled Nursing Facility Springfield, MO

Practice location

Address
1707 W Elfindale St, Springfield, MO 65807-1246
Phone
(417) 831-2273
Fax
(417) 831-7409
Mailing address
2180 S Forrest Heights Ave, Springfield, MO 65809-2971

Authorised official

Name
Michael Leon Sullivan
Title
Pta
Phone
(417) 840-1588

Registered specialties (2)

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 116911 (MO)
Nursing Facility/Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 116911 (MO)

Registry record

NPI
1114272374
Entity type
Organization
NPI issued
13 Jul 2012
Record last updated
13 Jul 2012

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.