NPI

Parkdale Manor Incorporated

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2006-09-13
Last updated
2016-11-23

Specialties

Licenses

License MO
015686

Location

Practice location
814 W South Ave
City
Maryville MO
Postal code
64468-2772
Phone
(660) 582-8161

Organization contact

Name
BENJAMIN SCHEULEN
Title
CEO
Phone
5735566240

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Maryville, MO. 298 records in the public file.

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