BRENDA LEE BACON

WELLINGTON, KS
NPI1992821813
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: KS  BO96011)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
-- BRENDA LEE BACON LPN
401 N WOODLAWN ST
WELLINGTON, KS 67152-2857
Phone number: 620-326-3556
Mailing Address
-- BRENDA LEE BACON LPN
401 N WOODLAWN ST
WELLINGTON, KS 67152-2857
Phone number: 620-326-3556
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