Organization
VICTORIAN MANOR OF UNION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY L QUICK (SECRETARY)
(573) 437-2103
Entity
Organization
Contact information
Practice address
1320 W MAIN ST, UNION, MO 63084-1084
(636) 584-0085
(636) 584-0433
Mailing address
1015 SPRINGFIELD RD, OWENSVILLE, MO 65066
(573) 437-2103
(573) 437-2219
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
24408 D
MO
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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