Organization · Type 2 NPI
Golden Age Nursing Home District
Skilled Nursing Facility · Stover, MO
Practice location
404 E 3rd St
Stover, MO 65078-0947
Fax (573) 377-2153
Mailing address
PO Box 307
Stover, MO 65078-0307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | None listed |
| Skilled Nursing Facility Primary | 314000000X | 031356 (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…
2 other providers at this address
About NPI 1790770444
Golden Age Nursing Home District's National Provider Identifier is 1790770444, issued on Sep 19, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Stover, MO. The record was last updated on May 20, 2026.