Diana'S Boarding Home 1, Inc

LBN: Diana'S Boarding Home 1, Inc
Diana'S Boarding Home 1, Inc is an health care organization with primary practice located at Hc 64 Box 4590 , Marble Hill MO 63764-9408. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Assisted Living, Mental Illness is the primary health care specialty. Diana'S Boarding Home 1, Inc can be contacted via phone (573) 866-2010, or through Wagner, Amanda via phone (573) 866-2010.

Contact Information

Primary practice address
Hc 64 Box 4590 Marble Hill MO 63764-9408
Phone: (573) 866-2010
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Amanda
Phone: (573) 866-2010

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1275128845
LBN Legal business name Diana'S Boarding Home 1, Inc
DBA Doing business as
Authorized official Wagner, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2021
Last updated Mar 5th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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