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Shady Lawn Living Center, Inc

Shady Lawn Living Center, Inc is a health care provider in Savannah, MO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 13277 State Route D, Savannah, MO 64485-9431, US
Practice Location Phone816-324-5991
Practice Location Fax816-324-3556
Legal Business NameSHADY LAWN LIVING CENTER, INC
Other Organization NameSHADY LAWN LIVING CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1295081222
Entity TypeOrganization
Enumeration Date ? Jul 27, 2012
Last Update Date ? Oct 5, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Shady Lawn Living Center, Inc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 040355Missouri

legacy-id-icon Legacy Provider IDs of Shady Lawn Living Center, Inc

Provider IdIssuer StateIssuer TypeIssuer
040355MissouriOtherSKILLED NURSING HOME LICENSE NUMBER
101450302MissouriMedicaid

official-icon Authorized Official of Shady Lawn Living Center, Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Shady Lawn Living Center, Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Ms. Charlene Osby
Authorized Official Title/PositionVICE PRESIDENT
Authorized Official Phone Number641-472-7482