VICKY L WINICK
Assisted Living, Mental Illness
Farmington, Missouri
Provider NPI: 1285766113
Organization Information:Organization Name: VICKY L WINICK
Practice Location:
5858 BUSIEK RD FARMINGTON, MO 63640 US
Tel: 573-756-2426 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5858 BUSIEK RD FARMINGTON, MO 63640 US
Tel: 573-756-2426 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3104A0625X | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Mental Illness | MO | 031232 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
267915304 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin