Organization
ASHLEY MANOR, INC.
Active
Other names
Ashley Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN C. SCHEULEN (CEO)
(573) 556-6240
Entity
Organization
Contact information
Practice address
1630 RADIO HILL RD, BOONVILLE, MO 65233-1957
(660) 882-6584
(660) 882-2267
Mailing address
1630 RADIO HILL RD, BOONVILLE, MO 65233-1957
(660) 882-6584
(660) 882-2267
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
017160
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102188604
—
MO
Enumeration date
09/13/2006
Last updated
11/23/2016
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