# ARBOR PLACE OF CLINTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104800101
- **Authorized official:** MR. JOHN M. SELLS (PRESIDENT/CEO)
- **Authorized official phone:** (573) 471-5800

## Contact information

- **Practice address:** 106 PADGETT DRIVE, CLINTON, KY 42031
- **Practice address phone:** (270) 653-5558
- **Practice address fax:** (270) 653-5522
- **Mailing address:** 258 NORTH KINGSHIGHWAY, SIKESTON, MO 63801
- **Mailing address phone:** (573) 471-5800
- **Mailing address fax:** (573) 471-6649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100181 | KY | Yes |

## Other

- **Enumeration date:** 12/02/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12504486 | — | KY |