St Joe Manor INC
NPI #1144301144 in Bonne Terre, Missouri
Provider Information
- NPI Number
- 1144301144
- Entity Type
- Organization
- Organization Name
- St Joe Manor INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Mar 21, 2019
Practice Location
- Address
- 10 LAKE DR
- City
- Bonne Terre
- State
- Missouri
- ZIP Code
- 63628-1820
- Phone
- (573) 358-2800
Authorized Official
- Name
- SHARO SHIRSHEKAN
- Title
- PRESIDENT
- Phone
- (573) 701-0600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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