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DEACONESS LONG TERM CARE OF OHIO, INC.

Assisted Living Facility

Marshfield, Missouri

Provider NPI: 1235123969

Organization Information:
Organization Name:  DEACONESS LONG TERM CARE OF OHIO, INC.


Practice Location:
800 S WHITE OAK RD  MARSHFIELD, MO 65706 US
Tel: 417-859-3701  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
MO031404

Other Provider Identifiers:

IssuerNumberStateType
ST LICENSE #031404MO01
268194206MO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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