Organization
N & R OF CEDAR HILL
Active
Other names
Cedar Hill Manor
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HUDSPETH (COO CFO)
(573) 392-0316
Entity
Organization
Contact information
Practice address
6400 THE CEDARS CT, CEDAR HILL, MO 63016-2220
(636) 274-1777
(636) 274-4041
Mailing address
6400 THE CEDARS CT, CEDAR HILL, MO 63016-2220
(636) 274-1777
(636) 274-4041
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031642
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1876993
STATE ID
MO
Enumeration date
09/21/2005
Last updated
08/22/2020
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