Organization
CHARLESTON MANOR NURSING, LLC
Active
Other names
Charleston Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES REIKER (TREASURER)
(573) 471-1113
Entity
Organization
Contact information
Practice address
1220 E MARSHALL ST, CHARLESTON, MO 63834-1349
(573) 683-3721
(573) 683-3029
Mailing address
1220 E MARSHALL ST, CHARLESTON, MO 63834-1349
(573) 683-3721
(573) 683-3029
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030652
MO
Other
Enumeration date
07/07/2005
Last updated
08/22/2020
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