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Organization

UNION MANOR RESIDENTIAL CARE FACILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALMA COOK CNA, L1MA (FACILITY OWNER)
(314) 361-1792
Entity
Organization

Contact information

Practice address
2711 UNION BLVD, SAINT LOUIS, MO 63113-1003
(314) 383-7310
Mailing address
2711 UNION BLVD, SAINT LOUIS, MO 63113-1003
(314) 383-7310

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
034758
MO

Other

Enumeration date
02/07/2008
Last updated
02/07/2008
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