Manor Care of Florissant Mo LLC
NPI #1255373957 in Florissant, Missouri
Provider Information
- NPI Number
- 1255373957
- Entity Type
- Organization
- Organization Name
- Manor Care of Florissant Mo LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 10, 2006
- Last Updated
- May 11, 2017
Practice Location
- Address
- 1200 GRAHAM RD
- City
- Florissant
- State
- Missouri
- ZIP Code
- 63031-8015
- Phone
- (314) 838-6555
Authorized Official
- Name
- MR. MARTIN D ALLEN
- Title
- DIRECTOR
- Phone
- (419) 252-5743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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| MRS. Kathleen Louise Wiegman, COTA/L |
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| Provider Name | |
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| Genesis Eldercare Rehab Services | |
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| Florissant Skilled Nursing, LLC | |
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