Jackson Manor Healthcare, LLC

NPI #1417662370 in Jackson, Missouri

Provider Information

NPI Number
1417662370
Entity Type
Organization
Organization Name
Jackson Manor Healthcare, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 16, 2023
Last Updated
Jan 16, 2023

Practice Location

Address
710 BROADRIDGE DR
ZIP Code
63755-3042
Phone
(573) 243-3101

Authorized Official

Name
JUDAH BIENSTOCK
Title
CEO
Phone
(314) 631-3000

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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