Michele Vinson Investments LLC DBA Bolivar Manor House

NPI #1245893296 in Bolivar, Missouri

Provider Information

NPI Number: 1245893296
Entity Type: Organization
Organization Name: Michele Vinson Investments LLC DBA Bolivar Manor House
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Apr 16, 2019
Last Updated: Apr 16, 2019

Practice Location

Address: 404 E BROADWAY ST
City: Bolivar
State: Missouri
ZIP Code: 65613-2019
Phone: (417) 327-5790

Authorized Official

Name: MS. MICHELE RUTHANNE VINSON, MEMBER
Title: ADMINISTRATOR
Phone: (417) 327-5790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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