Cedar Knoll Home
NPI #1104982545 in Saint James, Missouri
Provider Information
- NPI Number
- 1104982545
- Entity Type
- Organization
- Organization Name
- Cedar Knoll Home
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 13635 STATE ROUTE V
- City
- Saint James
- State
- Missouri
- ZIP Code
- 65559-8331
- Phone
- (573) 265-3658
Authorized Official
- Name
- MS. SUSAN STAPLES
- Title
- ADMINISTRATOR
- Phone
- (573) 265-3658
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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