| NPI | 1215782149 |
|---|---|
| Doing Business As | GRAND MANOR HEALTH CARE CENTER |
| 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 |