Gardner, Leaetta Mildred

Gardner, Leaetta Mildred is an sole proprietor health care provider with primary practice located at 13450 County Road 7040 , Rolla MO 65401. She recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as her primary health care specialty. Gardner, Leaetta Mildred can be contacted via phone (573) 341-8000.

Contact Information

Primary practice address
13450 County Road 7040 Rolla MO 65401
Phone: (573) 341-8000
Fax: (573) 426-3964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X

Profile Details

NPI number 1518303296
LBN Legal business name Gardner, Leaetta Mildred
Credentials LPN/ADM
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2013
Last updated May 21st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers