Organization · Type 2 NPI

Potosi Manor, Inc.

Skilled Nursing Facility · Potosi, MO

NPI number 1053307322 Active

Practice location

307 South Highway 21
Potosi, MO 63664-9317

Fax (573) 438-1230

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	031634 (MO)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1053307322

Potosi Manor, Inc.'s National Provider Identifier is 1053307322, issued on Sep 22, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Potosi, MO. The record was last updated on Oct 2, 2025.