NPI: 1790305654 · CAPE GIRARDEAU, MO 63703 · General Practice Physician · NPI assigned 04/21/2020
| Authorized Official | WOOD, KEVIN (OWNER) |
| NPI Enumeration Date | 04/21/2020 |
Other providers sharing the same authorized official: WOOD, KEVIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| FREDERICK STREET MANOR LLC | CAPE GIRARDEAU | MO | $317K |
| MAPLE CREST MANOR LLC | CAPE GIRARDEAU | MO | $316K |
| SCOTT CITY SUNSHINE LLC | SCOTT CITY | MO | $104K |
| KNL PRESCRIPTIONS LLC | CAPE GIRARDEAU | MO | $9K |
| BROADWAY LTC, LLC | CAPE GIRARDEAU | MO | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 85 | $3K |