Organization
ASHBY ROAD INC.
Active
Other names
Bentleys Extended Care
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLA D BENTLEY (ADMINISTRATOR)
(314) 426-0433
Entity
Organization
Contact information
Practice address
3060 ASHBY RD, SAINT LOUIS, MO 63114-1342
(314) 426-0433
(314) 426-3580
Mailing address
3060 ASHBY RD, SAINT LOUIS, MO 63114-1342
(314) 426-0433
(314) 426-3580
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
033566
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104692504
—
MO
Enumeration date
01/18/2007
Last updated
04/22/2008
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