Organization
BETHESDA LONG TERM CARE, INC
Active
Other names
Adult Day Care at Charless Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH J BRINKER (CHIEF OPERATING OFFICER)
(314) 800-1986
Entity
Organization
Contact information
Practice address
5943 TELEGRAPH RD, SAINT LOUIS, MO 63129-4715
(314) 846-2000
(314) 846-2004
Mailing address
5943 TELEGRAPH RD, SAINT LOUIS, MO 63129-4715
(314) 846-2000
(314) 846-2004
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296168602
—
MO
Enumeration date
03/17/2011
Last updated
03/17/2011
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