Organization
REDWOOD MANOR CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTIE ANN JONES (OWNER, OPERATER)
(573) 468-8150
Entity
Organization
Contact information
Practice address
1194 LANDON RD, BOURBON, MO 65441-8218
(573) 468-8150
(573) 860-2601
Mailing address
1194 LANDON RD, BOURBON, MO 65441-8218
(573) 468-8150
(573) 860-2601
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
034144
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M266774009
HEALTH NET IDENTIFIER
MO
Enumeration date
08/28/2008
Last updated
08/28/2008
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