Organization
VSL SPRINGFIELD MANOR LLC
Active
Other names
The Manor of Elfindale, Manor at Elfindale
Organization subpart
No
Provider details
NPI number
Authorized official
JACK D VETTER (CEO)
(402) 895-3932
Entity
Organization
Contact information
Practice address
1707 W ELFINDALE ST, SPRINGFIELD, MO 65807-1246
(417) 831-2273
(417) 831-7409
Mailing address
20220 HARNEY ST, ELKHORN, NE 68022-2063
(402) 885-6120
(402) 895-8165
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
042412
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042412
FACILITY LICENSE
MO
Enumeration date
06/21/2017
Last updated
07/24/2025
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