Claru Deville Nursing Center

LBN: N & R Of Fredericktown, Inc.
Claru Deville Nursing Center is an health care organization with primary practice located at 105 Spruce St , Fredericktown MO 63645-1002. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. N & R Of Fredericktown, Inc. can be contacted via phone (573) 783-3993, or through Lincoln, James C via phone (573) 746-7100.

Contact Information

Primary practice address
105 Spruce St Fredericktown MO 63645-1002
Phone: (573) 783-3993
Fax: (573) 783-5092
Website:
Map and Directions
Authorized official contact:
Name: Lincoln, James C
Phone: (573) 746-7100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 029883 Missouri

Profile Details

NPI number 1366438731
LBN Legal business name N & R Of Fredericktown, Inc.
DBA Doing business as Claru Deville Nursing Center
Authorized official Lincoln, James C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2005
Last updated Nov 4th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366438731 NPPES
Missouri Other 16780698 STATE ID
Missouri MEDICAID 103401006 STATE ID

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