N & R of Advance, Inc.

Organization Active NPI Skilled Nursing Facility · Advance, MO

NPI 1891781209 · NPPES record last updated Sep 6, 2007

Key facts

NPI
1891781209
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
030821 (MO)
Legal business name
N & R OF ADVANCE, INC.
Practice address
315 S Tilley St
Advance, MO 63730-7230
Phone
(573) 722-3440
Fax
(573) 722-3441
NPI assigned
Sep 21, 2005
Organization subpart
No

Authorized official

Name
Mr. Thomas Hudspeth
Title
Coo Cfo
Phone
(573) 392-0316

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 030821 MO Yes

Addresses

Primary practice location

315 S Tilley St
Advance, MO 63730-7230

Mailing address

315 S Tilley St
Advance, MO 63730-7230
Phone (573) 722-3440

Other identifiers

IdentifierTypeStateIssuer
16878043OtherMOSTATE ID

Other names

  • Advance Nursing Center Doing business as

Other providers in Advance, MO

All providers in Advance, MO · Skilled Nursing Facility in Missouri

Sources for this page

Verify at the official NPI Registry.