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Organization

HCR MANORCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. COLLEEN MICHELLE HIGGINS OTR/L (OTR/L)
(314) 795-6473
Entity
Organization

Contact information

Practice address
1200 GRAHAM RD, FLORISSANT, MO 63031-8015
(314) 838-6555
Mailing address
245 UNION BLVD APT 915, SAINT LOUIS, MO 63108-1292
(314) 795-6473

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2005009896
MO

Other

Enumeration date
05/15/2008
Last updated
05/15/2008
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