Community Care Center of Louisiana, Inc
Community Care Center of Louisiana, Inc is a Skilled Nursing Facility in Louisiana, Missouri. Licensed in Missouri. Registered with an NPI since 2005.
- Licensed in
- MO
- In the registry since
- 2005
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2407 Kentucky StLouisiana, MO 63353-2503
Phone: (573) 754-5456
Fax: (573) 754-6624
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 033696 (MO) |
|---|
Record details
| NPI number | 1477550911 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christina Giardina — President · (636) 394-3000 |
| Other names | Maple Grove Lodge; Maple Grove Lodge |
| NPI enumerated | June 30, 2005 |
| Last updated in NPPES | March 4, 2021 |
| Certification date | March 4, 2021 |
| Mailing address | 437 Sovereign Ct, Ballwin, MO 63011-4432 |
Clinicians affiliated with this facility
- Dr. Manuel Le-Yeng San, DO Geriatric Medicine (Family Medicine) Physician · Columbia, MO
Other providers in Louisiana
-
NBH2 Mgopco LLC
2407 Kentucky St, Louisiana, MO 63353-2503 · (573) 754-5456