# ARBOR PLACE OF PURYEAR

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

## Provider details

- **NPI number:** 1609850601
- **Authorized official:** MR. JOHN M. SELLS (PRESIDENT/CEO)
- **Authorized official phone:** (573) 471-5800

## Contact information

- **Practice address:** 223 WEST CHESTNUT, PURYEAR, TN 38251-0306
- **Practice address phone:** (731) 247-3205
- **Practice address fax:** (731) 247-5205
- **Mailing address:** 258 N 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 | 0000000130 | TN | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0445470 | — | TN |
| 05 | — | 7440575 | — | TN |