Community Care Center of Licking Inc
Community Care Center of Licking Inc is a Skilled Nursing Facility in Licking, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
209 Hickory StLicking, MO 65542-9847 Not confirmed with CMS for 18 years — call before visiting
Phone: (573) 674-2111
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 035084 (MO) |
|---|
Record details
| NPI number | 1609996222 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Giardina — President · (636) 394-3000 |
| Other names | Licking Park Manor |
| NPI enumerated | March 29, 2007 |
| Last updated in NPPES | January 10, 2008 |
| Mailing address | 312 Solley Dr Rear, Ballwin, MO 63021-5248 |
Clinicians affiliated with this facility
- Dr. Jonathan Robert Beers, DO Internal Medicine Physician · Rolla, MO
- John Robertson Carr, MD Internal Medicine Physician · Rolla, MO
Other providers in Licking
-
Licking No 1 LLC
209 Hickory St, Licking, MO 65542 · (573) 674-2111