PHDC, LLC

Skilled Nursing Facility · Buffalo, MO

Organization Active NPI

NPI number 1740582055

Practice location

631 W Main St
Buffalo, MO 65622-7496
Phone
(847) 329-4100

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NPI record

NPI
1740582055
Entity type
Organization (Type 2)
Enumeration date
November 19, 2010
Last updated
March 25, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

7444 Long Ave
Skokie, IL 60077-3214

Authorized official

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

Other names

  • Buffalo Prairie Care Center

About PHDC, LLC

PHDC, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 631 W Main St, Buffalo, MO 65622-7496. The NPI number 1740582055 was assigned on November 19, 2010 and the record was last updated on March 25, 2015.

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

Frequently asked questions

What is the NPI number of PHDC, LLC?

The NPI number is 1740582055.

What is the phone number of PHDC, LLC?

The phone number listed for the practice location is (847) 329-4100.

Where is PHDC, LLC located?

631 W Main St, Buffalo, MO 65622-7496.

What is the taxonomy code for PHDC, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

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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