NPI 1255436556

Independence Manor INC

Organisation Skilled Nursing Facility Independence, MO

Practice location

Address: 1600 S Kings Highway, Independence, MO 64055
Phone: (816) 833-4777
Fax: (816) 833-3032

Authorised official

Name: Hal Juckette
Title: Owner
Phone: (660) 646-5385

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 002374 (MO)

Other Skilled Nursing Facility providers in Missouri →

Registry record

NPI: 1255436556
Entity type: Organization
NPI issued: 13 Sep 2006
Record last updated: 5 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.