Organization
AMERICARE AT VICTORIAN MANOR OF VIENNA, LLC
Active
Other names
Victorian Place of Vienna Residential Care by Americare
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES REIKER (PRESIDENT)
(573) 471-1113
Entity
Organization
Contact information
Practice address
112 PARKWAY, VIENNA, MO 65582-8003
(573) 422-3230
Mailing address
112 PARKWAY, VIENNA, MO 65582-8003
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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