Organization
WARRENSBURG MANOR INC
Active
Other names
Warrensburg Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAL JUCKETTE (OWNER)
(660) 646-5385
Entity
Organization
Contact information
Practice address
400 CARE CENTER DR, WARRENSBURG, MO 64093-3100
(660) 747-2216
(660) 747-0807
Mailing address
400 CARE CENTER DR, WARRENSBURG, MO 64093-3100
(660) 747-2216
(660) 747-0807
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
016604
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108078700
—
MO
Enumeration date
09/13/2006
Last updated
08/28/2012
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