Organization
N & R OF TIPTON, LLC
Active
Other names
Tipton Oak Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HEDRICK CFO (CFO)
(573) 481-9625
Entity
Organization
Contact information
Practice address
601 W MORGAN ST, TIPTON, MO 65081-8214
(660) 433-5574
(660) 433-2622
Mailing address
601 W MORGAN ST, TIPTON, MO 65081-8214
(660) 433-5574
(660) 433-2622
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030322
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101497105
—
MO
01
—
18770037
STATE ID
MO
Enumeration date
09/22/2005
Last updated
09/16/2025
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