Provider Demographics
NPI:1922153089
Name:SPECIAL FORCE FAMILY MINISTRIES
Entity Type:Organization
Organization Name:SPECIAL FORCE FAMILY MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGE
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CHRISTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:417-725-7917
Mailing Address - Street 1:428 HARRISON ST
Mailing Address - Street 2:P.O. BOX 882
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-7809
Mailing Address - Country:US
Mailing Address - Phone:417-725-7917
Mailing Address - Fax:417-725-7977
Practice Address - Street 1:428 HARRISON ST
Practice Address - Street 2:
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-7809
Practice Address - Country:US
Practice Address - Phone:417-725-7917
Practice Address - Fax:417-725-7977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO031726310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility