Provider Demographics
NPI:1851058648
Name:BISMARCK INVESTMENT GROUP LLC
Entity Type:Organization
Organization Name:BISMARCK INVESTMENT GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-425-3062
Mailing Address - Street 1:1162 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:MO
Mailing Address - Zip Code:63624-8920
Mailing Address - Country:US
Mailing Address - Phone:573-734-2846
Mailing Address - Fax:
Practice Address - Street 1:1162 CEDAR ST
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:MO
Practice Address - Zip Code:63624-8920
Practice Address - Country:US
Practice Address - Phone:573-734-2846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness