Brookside Manor Residential Care, Llc

LBN: Brookside Manor Residential Care, Llc
Brookside Manor Residential Care, Llc is an health care organization with primary practice located at 2434 Highway H , Farmington MO 63640-7033. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Brookside Manor Residential Care, Llc can be contacted via phone (573) 756-6434, or through Dulworth, Starla Kay via phone (573) 756-6434.

Contact Information

Primary practice address
2434 Highway H Farmington MO 63640-7033
Phone: (573) 756-6434
Fax: (573) 756-6434
Website:
Map and Directions
Authorized official contact:
Name: Dulworth, Starla Kay
Phone: (573) 756-6434

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 034901 Missouri

Profile Details

NPI number 1275713638
LBN Legal business name Brookside Manor Residential Care, Llc
DBA Doing business as
Authorized official Dulworth, Starla Kay
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Nov 13th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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