Organization
VICTORIAN MANOR OF HERMANN INC
Active
Other names
Victorian Manor of Hermann
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY L QUICK (SECRETARY)
(573) 437-2103
Entity
Organization
Contact information
Practice address
2120 VILLAGE LANE, HERMANN, MO 65041
(573) 486-5060
(573) 486-5080
Mailing address
1015 SPRINGFIELD RD, OWENSVILLE, MO 65066
(573) 437-2103
(573) 437-2219
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
032830
MO
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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