Organization
JOPLIN 1 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD B BEDELL (PRESIDENT)
(573) 471-1276
Entity
Organization
Contact information
Practice address
3222 JOHN DUFFY DR, JOPLIN, MO 64804-1569
(417) 621-0175
(417) 621-0177
Mailing address
PO BOX 1210, SIKESTON, MO 63801-1210
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
046158
MO
Other
Enumeration date
07/07/2006
Last updated
03/26/2018
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