Organization
ROLLA MANOR, INC.
Active
Other names
Rolla Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN C. SCHEULEN (CEO)
(573) 556-6240
Entity
Organization
Contact information
Practice address
1800 WHITE COLUMNS DRIVE, ROLLA, MO 65401
(573) 364-7766
(573) 364-4036
Mailing address
1800 WHITE COLUMNS DRIVE, ROLLA, MO 65401
(573) 364-7766
(573) 364-1593
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
017746
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102122009
—
MO
Enumeration date
09/13/2006
Last updated
11/23/2016
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