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Ms. Leaetta Mildred Gardner, LPN/ADM
Nursing Facility/Intermediate Care Facility in Rolla, Missouri
NPI 1518303296

Leaetta Mildred Gardner is a Nursing Facility/Intermediate Care Facility based in Rolla, MO. Leaetta Mildred Gardner practices in Rolla, MO and has the professional credentials of LPN/ADM. The NPI Number for Leaetta Mildred Gardner is 1518303296 and holds a License No. (Missouri).

The current practice location address for Leaetta Mildred Gardner is 13450 County Road 7040, Rolla, MO and can be reached out via phone at 573-341-8000 and via fax at 573-426-3964. You can also correspond with Leaetta Mildred Gardner through the mailing address at 13450 COUNTY ROAD 7040, ROLLA, MO - 65401 (mailing address contact number: ).

Location: 13450 County Road 7040, Rolla, MO, 65401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518303296
Provider Name
Leaetta Mildred Gardner
Credential
LPN/ADM
Provider Entity Type
Individual
Gender
Female
Address
13450 County Road 7040, Rolla, MO, 65401
Phone Number
573-341-8000
Fax Number
573-426-3964
Provider Enumeration Date
05/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13450 County Road 7040
City
Rolla
State
Missouri
Zip
65401
Phone Number
573-341-8000
Fax Number
573-426-3964
person
Provider Business Mailing Address Details
Address
13450 County Road 7040
City
Rolla
State
Missouri
Zip
65401
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
()
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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