The Manor

LBN: Poplar Bluff No 1 Inc
The Manor is an health care organization with primary practice located at 2071 Barron Rd , Poplar Bluff MO 63901-1903. 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. Poplar Bluff No 1 Inc can be contacted via phone (573) 686-1147, or through Bedell, Donald B via phone (573) 471-1276.

Contact Information

Primary practice address
2071 Barron Rd Poplar Bluff MO 63901-1903
Phone: (573) 686-1147
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bedell, Donald B
Phone: (573) 471-1276

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 044995 Missouri

Profile Details

NPI number 1750313722
LBN Legal business name Poplar Bluff No 1 Inc
DBA Doing business as The Manor
Authorized official Bedell, Donald B
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Mar 1st, 2017 - about 8 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 1750313722 NPPES
Missouri MEDICAID 101456101

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