Whalio Doctors

NPI 1225244940

Bristol Care, INC.

Organisation Assisted Living Facility Lebanon, MO

Practice location

Address
1316 Deadra Dr, Lebanon, MO 65536-4609
Phone
(417) 532-4863
Fax
(417) 532-4863
Mailing address
201 W 3rd St, Sedalia, MO 65301-4352

Authorised official

Name
Shelley D Ebeling
Title
Medicaid Billing Department
Phone
(660) 826-0200

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X

Registry record

NPI
1225244940
Entity type
Organization
NPI issued
16 May 2007
Record last updated
1 Oct 2007

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.