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1215782149
GRAND MANOR HEALTH CARE CENTER, L.L.C.
SAINT LOUIS, MO
NPI
1215782149
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Entity Type
Organization
Authorized Contact
RICHARD J. DESTEFANE
President
314-543-3816
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2024-04-23
Last Update Date
2024-04-23
Business Address
GRAND MANOR HEALTH CARE CENTER, L.L.C.
3645 COOK AVE
SAINT LOUIS, MO 63113-3801
Phone number: 314-531-2352
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Mailing Address
GRAND MANOR HEALTH CARE CENTER, L.L.C.
1869 CRAIG PARK CT
SAINT LOUIS, MO 63146-4122
Phone number: 314-543-3816
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