Organization
CUBA MANOR, INC.
Active
Other names
Cuba Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HEDRICK CFO (CFO)
(573) 481-9625
Entity
Organization
Contact information
Practice address
210 ELDON ST, CUBA, MO 65453-1642
(573) 885-4500
(573) 885-4450
Mailing address
210 ELDON ST, CUBA, MO 65453-1642
(573) 885-4500
(573) 885-4450
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031548
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108297904
—
MO
01
—
16213459
STATE ID
MO
Enumeration date
09/21/2005
Last updated
09/15/2025
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