Provider Demographics
NPI:1114551694
Name:BELLEVIEW INVESTMENT GROUP LLC
Entity Type:Organization
Organization Name:BELLEVIEW INVESTMENT GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:BIGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-425-3062
Mailing Address - Street 1:PO BOX 91
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:MO
Mailing Address - Zip Code:63650-0091
Mailing Address - Country:US
Mailing Address - Phone:573-546-1616
Mailing Address - Fax:573-546-6465
Practice Address - Street 1:23144 HIGHWAY 32
Practice Address - Street 2:
Practice Address - City:BELLEVIEW
Practice Address - State:MO
Practice Address - Zip Code:63623-6346
Practice Address - Country:US
Practice Address - Phone:573-697-5311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility