Organization
BELLA-BROOKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA LYNN DEARDORFF LPN (OWNER/ HEALTHCARE CORDINATOR)
(660) 646-1595
Entity
Organization
Contact information
Practice address
1115 2ND ST, CHILLICOTHE, MO 64601-2134
(660) 646-1595
(660) 646-1595
Mailing address
1115 2ND ST, CHILLICOTHE, MO 64601-2134
(660) 646-1595
(660) 646-1595
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
1137
MO
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
10/17/2013
Last updated
08/06/2024
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