Organization
COLUMBIA MANOR, INC.
Active
Other names
Columbia 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
2012 E NIFONG BLVD, COLUMBIA, MO 65201-3874
(573) 449-1246
(573) 874-8753
Mailing address
2012 E NIFONG BLVD, COLUMBIA, MO 65201-3874
(573) 449-1246
(573) 874-8753
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
015988
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107809006
—
MO
Enumeration date
09/13/2006
Last updated
11/23/2016
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