Organization
MICHELE VINSON INVESTMENTS LLC DBA BOLIVAR MANOR HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE RUTHANNE VINSON MEMBER (ADMINISTRATOR)
(417) 327-5790
Entity
Organization
Contact information
Practice address
404 E BROADWAY ST, BOLIVAR, MO 65613-2019
(417) 327-5790
(417) 326-3839
Mailing address
PO BOX 175, BOLIVAR, MO 65613-0175
(417) 327-5790
(417) 326-3839
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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