NPI | 1801981089 |
---|---|
Doing Business As | COMMUNITY MANOR |
Entity Type | Organization |
Authorized Contact | SHARO SHIRSHEKAN CEO/Managing Member 573-701-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 031312) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2013-12-17 |