Provider Demographics
NPI:1356561328
Name:MISSOURI VETERANS COMMISSION
Entity type:Organization
Organization Name:MISSOURI VETERANS COMMISSION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:FAENGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-265-3271
Mailing Address - Street 1:620 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:MO
Mailing Address - Zip Code:65559-1926
Mailing Address - Country:US
Mailing Address - Phone:573-265-3271
Mailing Address - Fax:573-265-5771
Practice Address - Street 1:620 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:MO
Practice Address - Zip Code:65559-1926
Practice Address - Country:US
Practice Address - Phone:573-265-3271
Practice Address - Fax:573-265-5771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility