NPI 1417340357
Jefferson Manor
Practice location
- Address
- 902 Jefferson Ave, Cape Girardeau, MO 63703-6755
- Phone
- (573) 651-1373
- Fax
- (573) 651-1373
Authorised official
- Name
- Sharon Louise Armour
- Title
- Operator
- Phone
- (573) 651-1373
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1417340357
- Entity type
- Organization
- NPI issued
- 17 Mar 2015
- Record last updated
- 17 Mar 2015
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.