Charleston Manor Nursing, LLC
NPI #1477550259 in Charleston, Missouri
Provider Information
- NPI Number
- 1477550259
- Entity Type
- Organization
- Organization Name
- Charleston Manor Nursing, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 7, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1220 E MARSHALL ST
- City
- Charleston
- State
- Missouri
- ZIP Code
- 63834-1349
- Phone
- (573) 683-3721
Authorized Official
- Name
- MR. JAMES REIKER
- Title
- TREASURER
- Phone
- (573) 471-1113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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