IndividualActive
Karen Gordon
NPI 1073342754 · Assisted Living Facility (Mental Illness) · Sikeston, MO
Provider details
- NPI number
- 1073342754
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
210 Thomas Dr
Sikeston, MO 63801-4642
Phone: (573) 380-7017
Approximate (ZIP-level) locationGet directions
Mailing address
210 Thomas Dr
Sikeston, MO 63801-4642
Registry dates
- Enumerated
- 2024-07-30
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.