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Organization

COOPER COUNTY NURSING HOME DISTRICT NO 1

Active
Other names
Katy Manor
Organization subpart
No

Provider details

NPI number
Authorized official
GINA TWENTER (ADMINISTRATOR)
(660) 834-3111
Entity
Organization

Contact information

Practice address
205 PROSPECT AVE, PILOT GROVE, MO 65276-1111
(660) 834-3111
Mailing address
PO BOX 8, PILOT GROVE, MO 65276-0008
(660) 834-3111

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031713
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102642600
MO
Enumeration date
07/09/2006
Last updated
05/07/2014
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