Organization
ST. PETERS MANOR, INC.
Active
Other names
St Peters Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN C. SCHEULEN (CEO)
(573) 556-6240
Entity
Organization
Contact information
Practice address
230 SPENCER RD, SAINT PETERS, MO 63376-2425
(636) 441-2750
(636) 447-2835
Mailing address
230 SPENCER ROAD, ST PETERS, MO 63376
(636) 441-2750
(636) 447-2835
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0168041CF
MO
314000000X
Skilled Nursing Facility
019803SNF
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106961105
—
MO
Enumeration date
09/13/2006
Last updated
11/23/2016
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