| NPI | 1053307322 |
|---|---|
| Doing Business As | POTOSI MANOR |
| Entity Type | Organization |
| Authorized Contact | CARLA HEDRICK CFO 573-481-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 031634) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2025-10-02 |