Provider Demographics
NPI:1710419965
Name:BUMBLE BEES DREAMS
Entity Type:Organization
Organization Name:BUMBLE BEES DREAMS
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:BOELTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-445-6340
Mailing Address - Street 1:2011 CHAPEL PLAZA CT
Mailing Address - Street 2:SUITE 11
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-6398
Mailing Address - Country:US
Mailing Address - Phone:573-445-6340
Mailing Address - Fax:
Practice Address - Street 1:2011 CHAPEL PLAZA CT
Practice Address - Street 2:SUITE 11
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-6398
Practice Address - Country:US
Practice Address - Phone:573-445-6340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2017-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care