Organization
JACKSON MANOR HEALTHCARE, LLC
Active
Other names
Jackson Manor
Organization subpart
No
Provider details
NPI number
Authorized official
JUDAH BIENSTOCK (CEO)
(314) 631-3000
Entity
Organization
Contact information
Practice address
710 BROADRIDGE DR, JACKSON, MO 63755-3042
(573) 243-3101
Mailing address
477 N LINDBERGH BLVD STE 310, SAINT LOUIS, MO 63141-7856
(314) 631-3000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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