VICTORIAN MANOR OF HERMANN INC; NPI #1750553830

Contact Information

VICTORIAN MANOR OF HERMANN INC

2120 VILLAGE LANE
HERMANN, MO 65041

Phone: 573-486-5060
Fax: 573-486-5080
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for VICTORIAN MANOR OF HERMANN INC

NPI Number 1750553830

LBN Legal business name VICTORIAN MANOR OF HERMANN INC

Authorized official NANCY QUICK - (SECRETARY)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/28/2008

Last updated 03/28/2008 - About 18 years ago

Identifiers

License #

032830

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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