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Contact Information

MANOR GROVE, INC.
711 S KIRKWOOD RD
KIRKWOOD, MO63122
 Phone: 314-965-0864
 Fax: 314-965-0464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for MANOR GROVE, INC.

NPI # 1588705073
LBN Legal business name MANOR GROVE, INC.
Authorized official BARBARA ERRICO - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/09/2007
Last updated 08/02/2018 - About 8 years ago
Identifiers
MO License # 031653
MO Medicaid 102191806
MO Other 031653 STATE OPERATING LICENSE
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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