NPI 1356335749

Deaconess Long Term Care of Missouri, INC.

Organisation Skilled Nursing Facility Humansville, MO

Practice location

Address: 202 E Mill St, Humansville, MO 65674-8507
Phone: (417) 754-8711
Fax: (417) 754-8222
Mailing address: 440 Lafayette Ave Suite 400, Cincinnati, OH 45220-1022

Authorised official

Name: Carla Brooks
Title: Cfo
Phone: (513) 487-3600

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 029026 (MO)

Other Skilled Nursing Facility providers in Missouri →

Registry record

NPI: 1356335749
Entity type: Organization
NPI issued: 31 Aug 2005
Record last updated: 7 Oct 2008

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.