Cedar Knoll Home
Organization Active NPI Assisted Living Facility · Saint James, MO
NPI 1104982545 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104982545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- CEDAR KNOLL HOME
- Practice address
- 13635 State Route V
Saint James, MO 65559-8331 - Phone
- (573) 265-3658
- Fax
- (573) 265-3658
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Susan Staples
- Title
- Administrator
- Phone
- (573) 265-3658
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
13635 State Route V
Saint James, MO 65559-8331
Mailing address
13635 State Route V
Saint James, MO 65559-8331
Phone (573) 265-3658
Other names
- Cedar KnollRCF II
Other providers in Saint James, MO
- Kerry Dean Branum
- Linda Denise Branum
- Nancy S. Brown
- Yvonne Byrd
- Carley Jo Casey
- Jesse David Chandler
- Laura Jean Chilton
- Robin Charee Christopher
- Janna L. Clark Roselius
- Miranda Clark
All providers in Saint James, MO · Assisted Living Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.