Potosi Manor, Inc. in Potosi - Skilled Nursing Facility
Potosi Manor, Inc. - NPI 1053307322
Potosi Manor, Inc. is a Skilled Nursing Facility in Potosi, Missouri. Potosi Manor, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Potosi Manor, Inc. is 1053307322. The last update date is 2011-11-04.
Potosi Manor, Inc.'s current location address is 307 S Highway 21, Potosi, Missouri. You can contact this provider via phone number 5734383225 and fax number 5734381230. The mailing address for Potosi Manor, Inc. is 307 S Highway 21, Potosi, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Potosi Manor, Inc. |
|---|---|
| Address | 307 S Highway 21, Potosi, Missouri |
| Phone Number | 5734383225 |
| Fax Number | 5734381230 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SHAREHOLDE |
|---|---|
| Authorized Official Name | Lincoln C James |
| Telephone Number | 5737467100 |
NPI Number Detail
| NPI Number | 1053307322 |
|---|---|
| Provider Enumeration Date | 2005-09-22 |
| Last Updated Date | 2011-11-04 |
Provider Mailing Address Detail
| Address | 307 S Highway 21 |
|---|---|
| City | Potosi |
| State | Missouri (MO) |
| Post Code | 636649317 |
| Phone Number | 5734383225 |
| Fax Number | 5734381230 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 31634 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16667131 | MO | STATE ID | |
| 108841503 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Potosi Manor, Inc. by the Centers for Medicare & Medicaid Services?
The Potosi Manor, Inc. has been assigned the NPI (National Provider Identifier) 1053307322 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Potosi Manor, Inc.'s facilities are geographically located?
The facilities of Potosi Manor, Inc. are physically situated at the following location: 307 S Highway 21, Potosi, MO, 636649317.
What is Potosi Manor, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Potosi Manor, Inc. is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
On what date did the Potosi Manor, Inc. receive its 1053307322 assignment from the Centers for Medicare & Medicaid Services?
The Potosi Manor, Inc. was assigned its 1053307322 by the Centers for Medicare & Medicaid Services on 2005-09-22.
As of what date were the details related to Potosi Manor, Inc. most recently updated or revised?
The information pertaining to Potosi Manor, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2011-11-04.
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