Victorian Manor of Sullivan
NPI #1407099500 in Sullivan, Missouri
Provider Information
- NPI Number
- 1407099500
- Entity Type
- Organization
- Organization Name
- Victorian Manor of Sullivan
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 20, 2009
- Last Updated
- Apr 20, 2009
Practice Location
Authorized Official
- Name
- NANCY QUICK
- Title
- SECRETARY
- Phone
- (573) 437-2103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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