Organization
BRISTOL CARE, INC.
Active
Other names
Bristol Manor of Washington
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY D EBELING (MEDICAID BILLING DEPARTMENT)
(660) 826-0200
Entity
Organization
Contact information
Practice address
100 W 12TH ST, WASHINGTON, MO 63090-4445
(636) 390-0050
(636) 390-0050
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
05/15/2007
Last updated
10/03/2007
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