Organization
CEDAR HILL NURSING & REHAB, LLC
Active
Other names
Cedar Ridge Manor
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C LINCOLN (OWNER)
(636) 274-1777
Entity
Organization
Contact information
Practice address
6400 THE CEDARS CT, CEDAR HILL, MO 63016-2220
(636) 274-1777
(636) 274-4041
Mailing address
6400 THE CEDARS CT, CEDAR HILL, MO 63016-2220
(636) 274-1777
(636) 274-4041
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
036145
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102334505
—
MO
Enumeration date
01/29/2008
Last updated
06/04/2010
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