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Organization

THE OZARKS METHODIST MANOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY ANN COOPER LNHA (EXECUTIVE DIRECTOR)
(417) 258-2573
Entity
Organization

Contact information

Practice address
205 SOUTH COLLEGE AVE, MARIONVILLE, MO 65705-0403
(417) 258-2573
(417) 258-2240
Mailing address
PO BOX 403, MARIONVILLE, MO 65705-0403
(417) 258-2573
(417) 258-2240

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
031264
MO
310400000X
Assisted Living Facility
039150
MO
314000000X
Skilled Nursing Facility
030003
MO
314000000X
Skilled Nursing Facility
Primary
039149
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106881006
MO
Enumeration date
11/28/2005
Last updated
09/13/2011
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