Organization
VAN BUREN NO1 INC
Active
Other names
Riverways Manor
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFF SHIRRELL (CORPORATE SECRETARY)
(573) 471-1276
Entity
Organization
Contact information
Practice address
403 WATERCRESS ROAD, VAN BUREN, MO 63965-0969
(573) 323-4282
(573) 323-8224
Mailing address
PO BOX 1210, SIKESTON, MO 63801-1210
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
043397
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101453702
—
MO
Enumeration date
07/07/2006
Last updated
01/03/2017
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