| Organization Name: | PRESBYTERIAN MANORS, INC. |
| NPI Number: | 1942304266 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM M WARD (PRESIDENT/CEO) |
| Mailing Address: | 500 Cayce St Farmington |
| State: | MO US |
| Postal Code: | 636402910 |
| Phone Number: | 5737567066 |
| Fax Number: | 5737567991 |
| NPI Enumeration Date: | 09/08/2006 |
| NPI Last Update Date: | 01/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 152-HO |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |