Organization
CORI MANOR NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKY SCHMIDLEUTNER (ADMINISTRATOR)
(636) 343-2282
Entity
Organization
Contact information
Practice address
560 CORISANDE HILL RD, FENTON, MO 63026-5613
(636) 343-2282
(636) 343-1848
Mailing address
560 CORISANDE HILL RD, FENTON, MO 63026-5613
(636) 343-2282
(636) 343-1848
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102744604
—
MO
Enumeration date
09/15/2005
Last updated
08/08/2008
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