Organization
TIFFANY CARE CENTERS, INC
Active
Other names
McLARNEY MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY HENDERSON (ADMINISTRATOR)
(660) 258-7402
Entity
Organization
Contact information
Practice address
116 E PRATT ST, BROOKFIELD, MO 64628-1337
(660) 258-7402
Mailing address
PO BOX 129, BROOKFIELD, MO 64628-0129
(660) 258-7402
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031925
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101491108
—
MO
Enumeration date
07/26/2006
Last updated
08/31/2009
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