VICTORIAN MANOR OF SULLIVAN

Assisted Living Facility

Active Organization
NPI: 1407099500

Practice Address

1250 EAST SPRINGFIELD RD
Sullivan, MO 63080

Phone: (573) 437-2103

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes 26324D (MO)

Frequently Asked Questions

NPI 1407099500 is the National Provider Identifier for VICTORIAN MANOR OF SULLIVAN, a Assisted Living Facility provider located in Sullivan, MO. This NPI was enumerated on April 20, 2009.

Quick Facts

NPI
1407099500
Type
Organization
Enumerated
Apr 20, 2009
Last Updated
Apr 20, 2009

Nearby Providers