Kirksville Manor INC
Skilled Nursing Facility in Kirksville, MO. Organization (NPI-2).
NPI number1255436747
StatusActive
Last updated in NPPESJun 29, 2012
Details
- NPI
- 1255436747
- Entity type
- Organization (NPI-2)
- Legal business name
- Kirksville Manor INC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2006
- Last updated
- Jun 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 017422 | MO | Yes |
Other names
- Kirksville Manor Care Center (Doing Business As)
Practice location
1705 E Laharpe StKirksville, MO 63501-3927
Phone 660-665-3774 · Fax 660-627-1991
Mailing address
1705 E Laharpe StKirksville, MO 63501-3927
Phone 660-665-3774 · Fax 660-627-1991
Authorized official
Hal Juckette
Director Of Operations
6606465385
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