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Licking No 1 Llc
Skilled Nursing Facility in Licking, Missouri
NPI 1912424607

Licking No 1 Llc is a Skilled Nursing Facility based in Sikeston, MO. Licking No 1 Llc practices in Licking, MO. The NPI Number for Licking No 1 Llc is 1912424607 and holds a License No. 046854 (Missouri).

The current practice location address for Licking No 1 Llc is 209 Hickory St, Licking, MO and can be reached out via phone at 573-674-2111.

Location: 209 Hickory St, Licking, MO, 63801-2151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912424607
Provider Name
Licking No 1 Llc
Credential
Provider Entity Type
Organization
Address
209 Hickory St, Licking, MO, 63801-2151
Phone Number
573-674-2111
Fax Number
Provider Enumeration Date
08/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
209 Hickory St
City
Licking
State
Missouri
Zip
65542
Phone Number
573-674-2111
Fax Number
person
Provider Business Mailing Address Details
Address
209 Hickory St
City
Licking
State
Missouri
Zip
65542
Phone Number
573-674-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
046854 (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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