# MONROE MANOR THERAPY SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monroe Manor Therapy Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003231309
- **Authorized official:** SHAWN THOMPSON (PRESIDENT)
- **Authorized official phone:** (704) 957-8460

## Contact information

- **Practice address:** 1101 BAUCOM RD, MONROE, NC 28110-7584
- **Practice address phone:** (704) 776-9327
- **Mailing address:** 1101 BAUCOM RD, MONROE, NC 28110-7584
- **Mailing address phone:** (704) 776-9327
- **Mailing address fax:** (888) 704-5820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2014
- **Last updated:** 06/25/2014