Kirksville Manor Inc in Kirksville - Skilled Nursing Facility

Kirksville Manor Inc - NPI 1255436747

Kirksville Manor Inc is a Skilled Nursing Facility in Kirksville, Missouri. Kirksville Manor Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Kirksville Manor Inc is 1255436747. The last update date is 2012-06-29.

Kirksville Manor Inc's current location address is 1705 E Laharpe St, Kirksville, Missouri. You can contact this provider via phone number 6606653774 and fax number 6606271991. The mailing address for Kirksville Manor Inc is 1705 E Laharpe St, Kirksville, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kirksville Manor Inc
Address 1705 E Laharpe St, Kirksville, Missouri
Phone Number 6606653774
Fax Number 6606271991
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Juckette Hal
Telephone Number 6606465385

NPI Number Detail

NPI Number 1255436747
Provider Enumeration Date 2006-09-13
Last Updated Date 2012-06-29

Provider Mailing Address Detail

Address 1705 E Laharpe St
City Kirksville
State Missouri (MO)
Post Code 635013927
Phone Number 6606653774
Fax Number 6606271991

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 17422
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
102020500 MD --

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FAQs about Kirksville Manor Inc

What is the Kirksville Manor Inc's 1255436747?

The Kirksville Manor Inc's NPI (National Provider Identifier) Number is 1255436747. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kirksville Manor Inc?

The Kirksville Manor Inc is situated at 1705 E Laharpe St, in the city of Kirksville, state of MO, with the zip code 635013927.

What is Kirksville Manor Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kirksville Manor Inc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.

On what date did the Kirksville Manor Inc receive the assignment of its 1255436747 from the Centers for Medicare & Medicaid Services?

The Kirksville Manor Inc was issued its 1255436747 by the Centers for Medicare & Medicaid Services on 2006-09-13.

As of what date was the information regarding Kirksville Manor Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kirksville Manor Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-29.

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