Kirksville Manor Inc

NPI 1255436747 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1255436747
Enumeration Date 09/13/2006
Last Updated 06/29/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HAL HAL
Position DIRECTOR OF OPERATIONS
Phone (660) 665-3774
Fax (660) 627-1991
Practice Location
1705 E LAHARPE ST
KIRKSVILLE MO, 63501-3927, US
Phone (660) 665-3774
Fax (660) 627-1991
Business Location
1705 E LAHARPE ST
KIRKSVILLE MO, 63501-3927, US
Phone (660) 665-3774
Fax (660) 627-1991
Toxanomy
Taxonomy Code 314000000X
License State Missouri
License Number 017422
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According to our database, Kirksville Manor Inc NPI is 1255436747, taxonomy code is 314000000X and license number is 017422, license state is located at Missouri. Kirksville Manor Inc physically located at 1705 E Laharpe St, Kirksville MO, 63501-3927. NPI Number 1033115704 has the healthcare provider type.

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1255436747 NPI number is provided on an as is basis without warranty of any kind. 1255436747 is maintained by the National Plan & Provider Enumeration System. The contents of Kirksville Manor Inc are for informational purposes only.