Organization · Type 2 NPI

Licking No 1 LLC

Skilled Nursing Facility · Licking, MO

NPI number 1912424607 Active

Practice location

209 Hickory St
Licking, MO 65542

Mailing address

731 N Main St
Sikeston, MO 63801-2151

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X046854 (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 1912424607

Licking No 1 LLC's National Provider Identifier is 1912424607, issued on Aug 24, 2017. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Licking, MO. The record was last updated on Aug 24, 2018.