Organization
INDEPENDENCE MANOR INC
Active
Other names
Independence Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAL JUCKETTE (OWNER)
(660) 646-5385
Entity
Organization
Contact information
Practice address
1600 S KINGS HIGHWAY, INDEPENDENCE, MO 64055
(816) 833-4777
(816) 833-3032
Mailing address
1600 S KINGS HIGHWAY, INDEPENDENCE, MO 64055
(816) 833-4777
(816) 833-3032
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
002374
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107808503
—
MO
Enumeration date
09/13/2006
Last updated
07/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us