Organization
GRAND MANOR NURSING & REHABILITATION CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKHLOUF SUISSA (MEMBER)
(314) 531-2352
Entity
Organization
Contact information
Practice address
3645 COOK AVE, SAINT LOUIS, MO 63113-3801
(314) 531-2352
(314) 531-7140
Mailing address
3645 COOK AVE, SAINT LOUIS, MO 63113-3801
(314) 531-2352
(314) 531-7140
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
265717
MO
Other
Enumeration date
06/07/2006
Last updated
11/27/2007
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