Gasconade Manor Nursing Home District
NPI #1972649705 in Owensville, Missouri
Provider Information
- NPI Number
- 1972649705
- Entity Type
- Organization
- Organization Name
- Gasconade Manor Nursing Home District
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Sep 12, 2014
Practice Location
- Address
- 1910 NURSING HOME ROAD
- City
- Owensville
- State
- Missouri
- ZIP Code
- 65066-2844
- Phone
- (573) 437-4101
Authorized Official
- Name
- MRS. CRYSTAL LYNN RAY, ADMINISTRATOR
- Title
- ADMINISTRATOR
- Phone
- (573) 437-4101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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