Organization
BLUE CASTLE BOLIVAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAIYA PATEL LPN (OWNER/MANAGER)
(913) 744-8430
Entity
Organization
Contact information
Practice address
1830 E LAVERNE ST, BOLIVAR, MO 65613-1488
(417) 777-2583
(417) 326-2584
Mailing address
1830 E LAVERNE ST, BOLIVAR, MO 65613-1488
(417) 777-2583
(417) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
06/20/2024
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