Phca, LLC

Skilled Nursing Facility · Lewistown, MO

Organization Active NPI

NPI number 1306147186

Practice location

18540 State Highway 16
Lewistown, MO 63452-2111
Phone
(573) 215-2216

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NPI record

NPI
1306147186
Entity type
Organization (Type 2)
Enumeration date
November 9, 2010
Last updated
April 15, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —
Assisted Living Facility 310400000X — —

Mailing address

7444 Long Ave
Skokie, IL 60077-3214

Authorized official

Name
Benjamin Klein
Title
Manager
Phone
(847) 329-4100

Other names

  • Country Aire Retirement Estates

About Phca, LLC

Phca, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 18540 State Highway 16, Lewistown, MO 63452-2111. The NPI number 1306147186 was assigned on November 9, 2010 and the record was last updated on April 15, 2015.

The authorized official for this organization is Benjamin Klein, Manager.

Frequently asked questions

What is the NPI number of Phca, LLC?

The NPI number is 1306147186.

What is the phone number of Phca, LLC?

The phone number listed for the practice location is (573) 215-2216.

Where is Phca, LLC located?

18540 State Highway 16, Lewistown, MO 63452-2111.

What is the taxonomy code for Phca, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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