Organization
ELK MANOR NURSING, LLC
Active
Other names
Elk Manor Skilled Nursing by Americare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES REIKER (TREASURER)
(573) 471-1113
Entity
Organization
Contact information
Practice address
304 WALNUT, MOLINE, KS 67353-9021
(620) 647-3235
(620) 647-3452
Mailing address
304 WALNUT, MOLINE, KS 67353-9021
(620) 647-3235
(620) 647-3452
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N025001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042547401
—
KS
Enumeration date
07/13/2005
Last updated
08/22/2020
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