BB&K, Inc.

Organization Active NPI Skilled Nursing Facility · De Soto, MO

NPI 1922094523 · NPPES record last updated Oct 14, 2008

Key facts

NPI
1922094523
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
031516 (MO)
Legal business name
BB&K, INC.
Practice address
3260 Baisch Dr
De Soto, MO 63020-5046
Phone
(636) 586-2291
Fax
(636) 586-2292
NPI assigned
Sep 20, 2005
Organization subpart
No

Authorized official

Name
Mr. Bruce Warren Baisch
Title
Administrator/C.E.O.
Phone
(636) 586-2291

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 031516 MO Yes

Addresses

Primary practice location

3260 Baisch Dr
De Soto, MO 63020-5046

Mailing address

3260 Baisch Dr
De Soto, MO 63020-5046
Phone (636) 586-2291

Other identifiers

IdentifierTypeStateIssuer
104685003MedicaidMO

Other names

  • Baisch Nursing Center Doing business as

Other providers in De Soto, MO

All providers in De Soto, MO · Skilled Nursing Facility in Missouri

Sources for this page

Verify at the official NPI Registry.