Organization
BRACKEN HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL LYNNE RUDOLPH (SUPRV QMRP)
(816) 507-8997
Entity
Organization
Contact information
Practice address
8108 BEL RAY DR, BELTON, MO 64012
(816) 507-8997
Mailing address
PO BOX 454, RAYMORE, MO 64012
(816) 507-8997
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
8000161
MO
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us