Independence Manor INC
NPI #1255436556 in Independence, Missouri
Provider Information
- NPI Number
- 1255436556
- Entity Type
- Organization
- Organization Name
- Independence Manor INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 13, 2006
- Last Updated
- Jul 5, 2012
Practice Location
- Address
- 1600 S KINGS HIGHWAY
- City
- Independence
- State
- Missouri
- ZIP Code
- 64055
- Phone
- (816) 833-4777
Authorized Official
- Name
- MR. HAL JUCKETTE
- Title
- OWNER
- Phone
- (660) 646-5385
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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