Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareDEACONESS LONG TERM CARE OF OHIO, INC.
Assisted Living Facility
Ava, Missouri
Provider NPI: 1578557369
Organization Information:Organization Name: DEACONESS LONG TERM CARE OF OHIO, INC.
Practice Location:
1000 NW THIRD ST AVA, MO 65608 US
Tel: 417-683-6999 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:
1000 NW THIRD ST AVA, MO 65608 US
Tel: 417-683-6999 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MO | 031471 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| STATE LICENSE # | 031471 | MO | 01 |
| 268207800 | MO | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin