Organization
CHILLICOTHE MANOR I LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL EDERY (COO)
(516) 708-3503
Entity
Organization
Contact information
Practice address
1301 MONROE ST, CHILLICOTHE, MO 64601-1345
(660) 646-5180
Mailing address
445 CENTRAL AVE UNIT 215, CEDARHURST, NY 11516-2021
(516) 708-3503
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
01/30/2025
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