# CLEARWATER RETIREMENT COMMUNITY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRC The Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407819246
- **Authorized official:** MRS. IZENA MONK (ADMINISTRATOR)
- **Authorized official phone:** (620) 584-2271

## Contact information

- **Practice address:** 620 E WOOD ST, CLEARWATER, KS 67026-9757
- **Practice address phone:** (620) 584-2271
- **Practice address fax:** (620) 584-4583
- **Mailing address:** 620 E WOOD ST, CLEARWATER, KS 67026-9757
- **Mailing address phone:** (620) 584-2271
- **Mailing address fax:** (620) 584-4583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | NO87053 | KS | — |
| 311500000X | Alzheimer Center (Dementia Center) | BO87123 | KS | Yes |
| 311500000X | Alzheimer Center (Dementia Center) | BO87124 | KS | — |
| 314000000X | Skilled Nursing Facility | NO87016 | KS | — |

## Other

- **Enumeration date:** 04/11/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10010890021 | — | KS |