Organization
PARKDALE MANOR INCORPORATED
Active
Other names
Parkdale 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
814 W SOUTH AVE, MARYVILLE, MO 64468-2772
(660) 582-8161
(660) 582-2798
Mailing address
814 W SOUTH AVE, MARYVILLE, MO 64468-2772
(660) 582-8161
(660) 582-2798
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
015686
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106867104
—
MO
Enumeration date
09/13/2006
Last updated
11/23/2016
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