Organization
APPLETON CITY MANOR LLC
Active
Other names
Appleton City Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES L CONWAY (ADMINISTRATOR)
(660) 476-2128
Entity
Organization
Contact information
Practice address
600 N OHIO ST, APPLETON CITY, MO 64724-1609
(660) 476-2128
(660) 476-5567
Mailing address
PO BOX 98, APPLETON CITY, MO 64724-0098
(660) 476-2128
(660) 476-5567
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
032038
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101484202
—
MO
Enumeration date
10/11/2005
Last updated
03/15/2016
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