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Organization
HMG PARK MANOR OF BELLEVILLE, LLC
Active
Organization
HMG PARK MANOR OF BELLEVILLE, LLC
Active
Other names
BELLEVILLE HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAURENCE C. DASPIT (CEO)
(281) 419-5520
Entity
Organization
Contact information
Practice address
2626 WESLEYAN DR, BELLEVILLE, KS 66935-2440
(785) 527-5636
(785) 527-5419
Mailing address
1780 HUGHES LANDING BLVD STE 500, THE WOODLANDS, TX 77380-4009
(281) 419-5520
(281) 419-5527
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N079001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200557040B
—
KS
Enumeration date
01/24/2008
Last updated
11/04/2019
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