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Otke-villa Llc
Skilled Nursing Facility in Jefferson City, Missouri
NPI 1730131897

Otke-villa Llc is a Skilled Nursing Facility based in Jefferson City, MO. Otke-villa Llc practices in Jefferson City, MO. The NPI Number for Otke-villa Llc is 1730131897 and holds a License No. 032359 (Missouri).

The current practice location address for Otke-villa Llc is 1030 Edmonds St, Jefferson City, MO and can be reached out via phone at 573-635-3381 and via fax at 573-635-6685. You can also correspond with Otke-villa Llc through the mailing address at 1030 EDMONDS ST, JEFFERSON CITY, MO - 65109-5213 (mailing address contact number: 573-635-3381).

Location: 1030 Edmonds St, Jefferson City, MO, 65109-5213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730131897
Provider Name
Otke-villa Llc
Credential
Provider Entity Type
Organization
Address
1030 Edmonds St, Jefferson City, MO, 65109-5213
Phone Number
573-635-3381
Fax Number
573-635-6685
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1030 Edmonds St
City
Jefferson City
State
Missouri
Zip
65109-5213
Phone Number
573-635-3381
Fax Number
573-635-6685
person
Provider Business Mailing Address Details
Address
1030 Edmonds St
City
Jefferson City
State
Missouri
Zip
65109-5213
Phone Number
573-635-3381
Fax Number
573-635-6685
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
032359 (Missouri)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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