Organization
WINCHESTER PLACE ASSISTED LIVING
Active
Organization
WINCHESTER PLACE ASSISTED LIVING
Active
Other names
WINCHESTER PLACE ASSISTED LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN SELLS LNHA (PRESIDENT)
(573) 293-6702
Entity
Organization
Contact information
Practice address
404 WINCHESTER DR, BERNIE, MO 63822-7500
(573) 293-6705
(573) 293-6710
Mailing address
PO BOX 760, BERNIE, MO 63822-0760
(573) 293-6705
(573) 293-6710
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049736
ALF-II STATE LICENSE
MO
Enumeration date
02/13/2007
Last updated
12/06/2021
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