Provider First Line Business Practice Location Address:
HIGHWAY 62 EAST
Provider Second Line Business Practice Location Address:
GENERAL BAPTIST NURSING HOME
Provider Business Practice Location Address City Name:
CAMPBELL
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63933
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-246-2232
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2007