Whalio Doctors

NPI 1750597613

Bristol Care, INC.

Organisation Assisted Living Facility Jefferson City, MO

Practice location

Address
834 Weathered Rock CT, Jefferson City, MO 65101-1824
Phone
(573) 634-7402
Fax
(573) 634-7402
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
1750597613
Entity type
Organization
NPI issued
15 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.