Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Victorian Manor of Sullivan

Organization Assisted Living Facility · NPI 1407099500

Victorian Manor of Sullivan is an Assisted Living Facility in Sullivan, Missouri. Licensed in Missouri. Registered with an NPI since 2009.

Licensed in
MO
In the registry since
2009

Practice location Address checks out

1250 E Springfield Rd
Sullivan, MO 63080
Phone: (573) 437-2103
Fax: (573) 437-2219
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 26324D (MO)

Record details

NPI number1407099500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Quick — Secretary · (573) 437-2103
Other names Victorian Manor Of Oak Grove/Sullivan
NPI enumeratedApril 20, 2009
Last updated in NPPESApril 20, 2009
Mailing address1015 Springfield Rd, Owensville, MO 65066

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