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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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