Organization
THE LODGE AT MANITO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C TUTERA (MANAGER)
(181) 644-4090
Entity
Organization
Contact information
Practice address
1303 S EAST AVE, MANITO, IL 61546-8910
(309) 968-5330
Mailing address
7611 STATE LINE RD STE 301, KANSAS CITY, MO 64114-1698
(816) 444-0900
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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