Organization · Type 2 NPI

Brookside Manor Residential Care, LLC

Assisted Living Facility · Farmington, MO

NPI number 1275713638 Active

About NPI 1275713638

Brookside Manor Residential Care, LLC's National Provider Identifier is 1275713638, issued on Nov 13, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Farmington, MO. The record was last updated on Nov 13, 2007.