Individual provider · Type 1 NPI
Brenda Lee Bacon, LPN
Assisted Living Facility · Wellington, KS
NPI number
1992821813
Active
Practice location
401 N Woodlawn St
Wellington, KS 67152-2857
Fax (620) 892-5843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | BO96011 (KS) |
Assisted Living Facility: 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.
2 other providers at this address
About NPI 1992821813
Brenda Lee Bacon, LPN's National Provider Identifier is 1992821813, issued on Mar 22, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Wellington, KS. The record was last updated on Jul 8, 2007.