BROOKSIDE MANOR is an assisted living facility in Farmington, MO. The provider is 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. BROOKSIDE MANOR NPI is 1902008766. The provider is registered as an organization entity type.
The provider's business location address is:
2434 HIGHWAY H
FARMINGTON, MO
ZIP 63640-033
Phone: (573) 756-6434
Fax: (573) 756-6434
The provider's authorized official is Julie Nicholson .
The authorized official title is OWNER OPERATOROperator and has the following contact phone number (573) 756-6434.
The CLIA number assigned to this NPI record is 26D2117374 - other - rcf with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/4/2007 and was last updated on 8/22/2020.