Organization
CORI MANOR HEALTHCARE & REHABILITATION CENTER, LLC
Active
Other names
Cori Manor Healthcare & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAKHLOUF SUISSA (PRESIDENT)
(314) 963-7570
Entity
Organization
Contact information
Practice address
560 CORISANDE HILLS RD, FENTON, MO 63026-5613
(636) 343-2282
Mailing address
560 CORISANDE HILLS RD, FENTON, MO 63026-5613
(636) 343-2282
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
035712
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102744604
—
MO
Enumeration date
06/17/2008
Last updated
12/15/2010
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