Frederick Street Manor Llc

LBN: Frederick Street Manor Llc
Frederick Street Manor Llc is an health care organization with primary practice located at 429 N Frederick St , Cape Girardeau MO 63701-4834. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness. Nursing & Custodial Care Facilities / Assisted Living, Mental Illness is the primary health care specialty. Frederick Street Manor Llc can be contacted via phone (573) 334-0916, or through Wood, Kevin via phone (573) 576-3029.

Contact Information

Primary practice address
429 N Frederick St Cape Girardeau MO 63701-4834
Phone: (573) 334-0916
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wood, Kevin
Phone: (573) 576-3029

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X

Profile Details

NPI number 1518535285
LBN Legal business name Frederick Street Manor Llc
DBA Doing business as
Authorized official Wood, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2021
Last updated Jun 17th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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