Organization · Type 2 NPI

Community Care Center of Licking Inc

Skilled Nursing Facility · Licking, MO

NPI number 1609996222 Active

Practice location

209 Hickory St
Licking, MO 65542-9847

Mailing address

312 Solley Dr Rear
Ballwin, MO 63021-5248

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X035084 (MO)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1609996222

Community Care Center of Licking Inc's National Provider Identifier is 1609996222, issued on Mar 29, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Licking, MO. The record was last updated on Jan 10, 2008.