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Organization

ALBANY PLACE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MELBA NADINE MANDRELL (MANAGER)
(417) 777-8040
Entity
Organization

Contact information

Practice address
520 S ALBANY AVE, BOLIVAR, MO 65613-2116
(417) 777-8040
(417) 777-3024
Mailing address
PO BOX 176, BOLIVAR, MO 65613-0176
(417) 777-8040
(417) 777-3024

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
06/05/2020
Last updated
06/05/2020
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