NPI 1477043222

Srz Op Rolla LLC

Organisation Skilled Nursing Facility Rolla, MO

Practice location

Address: 1200 McCutchen Rd, Rolla, MO 65401-2615
Phone: (573) 364-2311
Mailing address: 22 Herrick Dr, Lawrence, NY 11559-1528

Authorised official

Name: Samuel Goldner
Title: Authorized Person/Official
Phone: (347) 677-0448

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Missouri →

Registry record

NPI: 1477043222
Entity type: Organization
NPI issued: 17 May 2018
Record last updated: 17 May 2018

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.