Charleston Manor Nursing, LLC
Organization Active NPI Skilled Nursing Facility · Charleston, MO
NPI 1477550259 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1477550259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 030652 (MO)
- Legal business name
- CHARLESTON MANOR NURSING, LLC
- Practice address
- 1220 E Marshall St
Charleston, MO 63834-1349 - Phone
- (573) 683-3721
- Fax
- (573) 683-3029
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. James Reiker
- Title
- Treasurer
- Phone
- (573) 471-1113
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030652 | MO | Yes |
Addresses
Primary practice location
1220 E Marshall St
Charleston, MO 63834-1349
Mailing address
1220 E Marshall St
Charleston, MO 63834-1349
Phone (573) 683-3721
Other names
- Charleston Manor
Other providers in Charleston, MO
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- C & H Drugs, Inc.
- Rebecca Chapman
- Charleston Chiropractic LLC
- Charleston R-1 School District
- Tamara Lee Cox
- Rebecca L Crowley-Kuykendall
- Bianca Daisy
- Amber Nikole Faire
All providers in Charleston, MO · Skilled Nursing 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.