MS. Leaetta Mildred Gardner, LPN/ADM
MS. Leaetta Mildred Gardner, LPN/ADM is a Nursing Facility/Intermediate Care Facility in Rolla, Missouri. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
13450 County Road 7040Rolla, MO 65401 Not confirmed with CMS for 13 years — call before visiting
Phone: (573) 341-8000
Fax: (573) 426-3964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X |
|---|
Record details
| NPI number | 1518303296 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPN/ADM |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2013 |
| Last updated in NPPES | May 21, 2013 |