Organization
BRISTOL CARE, INC.
Active
Other names
Bristol Manor of Centralia
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY DEANNE EBELING (MEDICAID BILLING DEPARTMENT)
(660) 826-0200
Entity
Organization
Contact information
Practice address
610 N JEFFERSON ST, CENTRALIA, MO 65240-1178
(573) 682-5913
(573) 682-5913
Mailing address
201 W 3RD ST, SEDALIA, MO 65301-4352
(660) 826-0200
(660) 827-2027
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
10/02/2007
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