Organization
SKYLINE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF E NEWMAN (ADMINISTRATOR / OWNER)
(573) 778-2499
Entity
Organization
Contact information
Practice address
100 HARD ROCK RD, VAN BUREN, MO 63965-0780
(573) 778-2499
Mailing address
PO BOX 780, VAN BUREN, MO 63965-0780
(573) 778-2499
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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