Organization
CEDAR KNOLL HOME
Active
Other names
Cedar KnollRCF II
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN STAPLES (ADMINISTRATOR)
(573) 265-3658
Entity
Organization
Contact information
Practice address
13635 STATE ROUTE V, SAINT JAMES, MO 65559-8331
(573) 265-3658
(573) 265-3658
Mailing address
13635 STATE ROUTE V, SAINT JAMES, MO 65559-8331
(573) 265-3658
(573) 265-3658
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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