Organization Name: | VICTORIAN MANOR OF CUBA INC |
NPI Number: | 1467643502 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY L QUICK (SECRETARY) |
Mailing Address: | 901 Hwy Dd Cuba |
State: | MO US |
Postal Code: | 654530901 |
Phone Number: | 5738850551 |
Fax Number: | 5738850901 |
NPI Enumeration Date: | 08/05/2007 |
NPI Last Update Date: | 08/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 034460 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy 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. |