Edgewood Manor Opco, LLC

NPI #1457822504 in Raytown, Missouri

Provider Information

NPI Number
1457822504
Entity Type
Organization
Organization Name
Edgewood Manor Opco, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 16, 2018
Last Updated
Dec 16, 2018

Practice Location

Address
11900 JESSICA LN
ZIP Code
64138-2649
Phone
(816) 358-7858

Authorized Official

Name
SAM STERN
Title
CFO
Phone
(877) 567-0402

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility
Respite Care
Skilled Nursing Facility

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