Independence Manor Inc

NPI 1255436556 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1255436556
Enumeration Date 09/13/2006
Last Updated 07/05/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HAL HAL
Position OWNER
Phone (816) 833-4777
Fax (816) 833-3032
Practice Location
1600 S KINGS HIGHWAY
INDEPENDENCE MO, 64055, US
Phone (816) 833-4777
Fax (816) 833-3032
Business Location
1600 S KINGS HIGHWAY
INDEPENDENCE MO, 64055, US
Phone (816) 833-4777
Fax (816) 833-3032
Toxanomy
Taxonomy Code 314000000X
License State Missouri
License Number 002374
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According to our database, Independence Manor Inc NPI is 1255436556, taxonomy code is 314000000X and license number is 002374, license state is located at Missouri. Independence Manor Inc physically located at 1600 S Kings Highway, Independence MO, 64055. NPI Number 1033115704 has the healthcare provider type.

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1255436556 NPI number is provided on an as is basis without warranty of any kind. 1255436556 is maintained by the National Plan & Provider Enumeration System. The contents of Independence Manor Inc are for informational purposes only.