Organization
PRESBYTERIAN MANORS, INC
Active
Other names
Fulton Presbyterian Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M WARD JR. (PRESIDENT/CEO)
(316) 685-1100
Entity
Organization
Contact information
Practice address
811 CENTER ST, FULTON, MO 65251-1922
(573) 642-6646
(573) 642-2202
Mailing address
PO BOX 20440, WICHITA, KS 67208-1440
(316) 685-1100
(316) 685-2900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031615
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700169
BLUE CROSS
KS
Enumeration date
08/31/2006
Last updated
02/22/2008
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