Brookside Manor Residential Care, Llc in Farmington - Assisted Living Facility
Brookside Manor Residential Care, Llc - NPI 1275713638
Brookside Manor Residential Care, Llc is a Assisted Living Facility in Farmington, Missouri. Brookside Manor Residential Care, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Brookside Manor Residential Care, Llc is 1275713638. The last update date is 2007-11-13.
Brookside Manor Residential Care, Llc's current location address is 2434 Highway H, Farmington, Missouri. You can contact this provider via phone number 5737566434 and fax number 5737566434. The mailing address for Brookside Manor Residential Care, Llc is 2434 Highway H, Farmington, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookside Manor Residential Care, Llc |
|---|---|
| Address | 2434 Highway H, Farmington, Missouri |
| Phone Number | 5737566434 |
| Fax Number | 5737566434 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Dulworth Kay Starla |
| Telephone Number | 5737566434 |
NPI Number Detail
| NPI Number | 1275713638 |
|---|---|
| Provider Enumeration Date | 2007-11-13 |
| Last Updated Date | 2007-11-13 |
Provider Mailing Address Detail
| Address | 2434 Highway H |
|---|---|
| City | Farmington |
| State | Missouri (MO) |
| Post Code | 636407033 |
| Phone Number | 5737566434 |
| Fax Number | 5737566434 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 34901 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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What is the unique identifier code issued to Brookside Manor Residential Care, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Brookside Manor Residential Care, Llc has been assigned the NPI (National Provider Identifier) 1275713638. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Brookside Manor Residential Care, Llc?
The Brookside Manor Residential Care, Llc is physically situated at 2434 Highway H, in the city of Farmington, state of MO, with the postal code 636407033.
What is Brookside Manor Residential Care, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brookside Manor Residential Care, Llc is Assisted Living Facility, and the taxonomy code that categorizes this field of expertise is 310400000X.
When was the Brookside Manor Residential Care, Llc's 1275713638 issued?
The Brookside Manor Residential Care, Llc's 1275713638 was issued on 2007-11-13.
When was the Brookside Manor Residential Care, Llc's information last updated?
The Brookside Manor Residential Care, Llc's information was last updated on 2007-11-13.