Organization
PRESBYTERIAN MANORS, INC.
Active
Other names
Rolla Presbyterian Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M WARD JR. (PRESIDENT/CEO)
(316) 685-1100
Entity
Organization
Contact information
Practice address
1200 HOMELIFE PLZ, ROLLA, MO 65401-2512
(573) 364-7336
(573) 364-7495
Mailing address
PO BOX 20440, WICHITA, KS 67208-1440
(316) 685-1100
(316) 685-2900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030022
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700170
BLUE CROSS
KS
Enumeration date
08/31/2006
Last updated
02/22/2008
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