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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