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INDEPENDENCE HEALTH SYSTEM, INC.

Assisted Living Facility

Perryville, Missouri

Provider NPI: 1619963972

Organization Information:
Organization Name:  INDEPENDENCE HEALTH SYSTEM, INC.


Practice Location:
800 S KINGSHIGHWAY ST  PERRYVILLE, MO 63775 US
Tel: 573-547-6546  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
MO031348
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
MO031654

Other Provider Identifiers:

IssuerNumberStateType
101493203MO05
268114808MO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ASSISTED LIVING JOBS MO - Page 1



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