NPI 1295830776

Pleasant Valley Manor INC

Organisation Skilled Nursing Facility Liberty, MO

Practice location

Address: 6814 Sobbie Road, Liberty, MO 64068
Phone: (816) 781-5277
Fax: (816) 781-8273

Authorised official

Name: Hal Juckette
Title: Director of Operations
Phone: (660) 646-5385

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 016612 (MO)

Other Skilled Nursing Facility providers in Missouri →

Registry record

NPI: 1295830776
Entity type: Organization
NPI issued: 13 Sep 2006
Record last updated: 25 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.