# ELK MANOR NURSING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elk Manor Skilled Nursing by Americare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225036247
- **Authorized official:** MR. JAMES REIKER (TREASURER)
- **Authorized official phone:** (573) 471-1113

## Contact information

- **Practice address:** 304 WALNUT, MOLINE, KS 67353-9021
- **Practice address phone:** (620) 647-3235
- **Practice address fax:** (620) 647-3452
- **Mailing address:** 304 WALNUT, MOLINE, KS 67353-9021
- **Mailing address phone:** (620) 647-3235
- **Mailing address fax:** (620) 647-3452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N025001 | KS | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1042547401 | — | KS |