Organization
MONROE CITY MANOR CARE CENTER, INC
Active
Other names
Monroe City Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXANDRA L EDRIS (ADMINISTRATOR)
(573) 735-4850
Entity
Organization
Contact information
Practice address
1010 HIGHWAY 24 AND 36 E, MONROE CITY, MO 63456-1116
(573) 735-4850
(573) 735-3511
Mailing address
1010 HWY 24 & 36 E, MONROE CITY, MO 63456
(573) 735-4850
(573) 735-3511
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031459
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102486909
—
MO
Enumeration date
08/26/2005
Last updated
08/23/2016
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