Organization
FORSYTH MANOR, INC.
Active
Other names
FORSYTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HUDSPETH (COO CFO)
(573) 392-0316
Entity
Organization
Contact information
Practice address
477 COY BLVD, FORSYTH, MO 65653-5132
(417) 546-6337
(417) 546-2100
Mailing address
477 COY BLVD, FORSYTH, MO 65653-5132
(417) 546-6337
(417) 546-2100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031673
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107753402
—
MO
01
—
15846270
STATE ID
MO
Enumeration date
09/22/2005
Last updated
02/15/2011
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