Organization
DESOTO INVESTMENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE MICHELLE BIGHAM (PRESIDENT)
(417) 425-3062
Entity
Organization
Contact information
Practice address
3260 BAISCH DR, DE SOTO, MO 63020-5046
(417) 425-3062
Mailing address
PO BOX 134, MOUNTAIN GROVE, MO 65711-0134
(417) 425-3062
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104685003
—
MO
Enumeration date
08/02/2016
Last updated
07/02/2025
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