Organization
MANOR HOME
Active
Other names
Manor Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA VANEATON (ADMINISTRATOR)
(816) 322-4209
Entity
Organization
Contact information
Practice address
107 NANETTE ST, BELTON, MO 64012-3032
(816) 322-0506
Mailing address
220 MANOR DR, BELTON, MO 64012-1990
(816) 322-4209
(816) 322-7978
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
857846208
—
MO
Enumeration date
03/15/2007
Last updated
06/26/2008
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