Whalio Doctors

NPI 1790991354

Bristol Care, INC.

Organisation Assisted Living Facility Clinton, MO

Practice location

Address
1402 E Franklin St, Clinton, MO 64735-1768
Phone
(660) 885-8391
Fax
(660) 885-8391
Mailing address
201 W 3rd St, Sedalia, MO 65301-4352

Authorised official

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

Registered specialties

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

Registry record

NPI
1790991354
Entity type
Organization
NPI issued
14 May 2007
Record last updated
2 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.