Edgewood Manor Health Care Center, L.l.c.

NPI #1467072280 in Raytown, Missouri

Provider Information

NPI Number
1467072280
Entity Type
Organization
Organization Name
Edgewood Manor Health Care Center, L.l.c.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Apr 22, 2020
Last Updated
Apr 22, 2020

Practice Location

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

Authorized Official

Name
RICHARD J. DESTEFANE
Title
PRESIDENT
Phone
(314) 543-3816

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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