| NPI | 1912090564 |
|---|---|
| Doing Business As | PARKSIDE MANOR |
| Entity Type | Organization |
| Authorized Contact | JAMES C LINCOLN President 573-481-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 034974) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-02-15 |