SO
SJ3 OP DIVERS LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
SAINT JOSEPH, MO
Licensed since
2022
Rate
—
Federal identifiers
NPI registry number1063134294
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameSAMUEL GOLDNER
TitleAUTHORIZED PERSON
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