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Victorian Manor Of Sullivan
Assisted Living Facility in Sullivan, Missouri
NPI 1407099500

Victorian Manor Of Sullivan is an Assisted Living Facility based in Owensville, MO. Victorian Manor Of Sullivan practices in Sullivan, MO. The NPI Number for Victorian Manor Of Sullivan is 1407099500 and holds a License No. 26324D (Missouri).

The current practice location address for Victorian Manor Of Sullivan is 1250 East Springfield Rd, Sullivan, MO and can be reached out via phone at 573-437-2103 and via fax at 573-437-2219.

Location: 1250 East Springfield Rd, Sullivan, MO, 65066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407099500
Provider Name
Victorian Manor Of Sullivan
Credential
Provider Entity Type
Organization
Address
1250 East Springfield Rd, Sullivan, MO, 65066
Phone Number
573-437-2103
Fax Number
573-437-2219
Provider Enumeration Date
04/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1250 East Springfield Rd
City
Sullivan
State
Missouri
Zip
63080
Phone Number
573-437-2103
Fax Number
573-437-2219
person
Provider Business Mailing Address Details
Address
1250 East Springfield Rd
City
Sullivan
State
Missouri
Zip
63080
Phone Number
573-437-2103
Fax Number
573-437-2219
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
26324D (Missouri)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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