Kirksville Manor Care Center

LBN: Kirksville Manor Inc
Kirksville Manor Care Center is an health care organization with primary practice located at 1705 E Laharpe St , Kirksville MO 63501-3927. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Kirksville Manor Inc can be contacted via phone (660) 665-3774, or through Juckette, Hal via phone (660) 646-5385.

Contact Information

Primary practice address
1705 E Laharpe St Kirksville MO 63501-3927
Phone: (660) 665-3774
Fax: (660) 627-1991
Website:
Map and Directions
Authorized official contact:
Name: Juckette, Hal
Phone: (660) 646-5385

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 017422 Missouri

Profile Details

NPI number 1255436747
LBN Legal business name Kirksville Manor Inc
DBA Doing business as Kirksville Manor Care Center
Authorized official Juckette, Hal
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Jun 29th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255436747 NPPES
Maryland MEDICAID 102020500

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