Organization
CLEARWATER RETIREMENT COMMUNITY INC.
Active
Other names
CRC The Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IZENA MONK (ADMINISTRATOR)
(620) 584-2271
Entity
Organization
Contact information
Practice address
620 E WOOD ST, CLEARWATER, KS 67026-9757
(620) 584-2271
(620) 584-4583
Mailing address
620 E WOOD ST, CLEARWATER, KS 67026-9757
(620) 584-2271
(620) 584-4583
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
NO87053
KS
311500000X
Alzheimer Center (Dementia Center)
Primary
BO87123
KS
311500000X
Alzheimer Center (Dementia Center)
BO87124
KS
314000000X
Skilled Nursing Facility
NO87016
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10010890021
—
KS
Enumeration date
04/11/2006
Last updated
09/11/2025
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