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Organization

BEAUVAIS MANOR HEALTHCARE & REHAB CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELDON WOLFE (MEMBER)
(847) 982-2300
Entity
Organization

Contact information

Practice address
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110-4048
(314) 771-2990
(314) 771-7960
Mailing address
7434 SKOKIE BLVD, SKOKIE, IL 60077-3341
(847) 982-2300
(847) 982-2304

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
035624
MO
314000000X
Skilled Nursing Facility
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108680109
MO
Enumeration date
02/25/2008
Last updated
07/30/2008
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