Diana'S Boarding Home, Inc

LBN: Diana'S Boarding Home, Inc
Diana'S Boarding Home, Inc is an health care organization with primary practice located at Hc 64 Box 4590 , Marble Hill MO 63764-9408. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Diana'S Boarding Home, Inc can be contacted via phone (573) 866-2010, or through Cook, Diana F via phone (573) 238-3344.

Contact Information

Primary practice address
Hc 64 Box 4590 Marble Hill MO 63764-9408
Phone: (573) 866-2010
Fax: (573) 866-2100
Website:
Map and Directions
Authorized official contact:
Name: Cook, Diana F
Phone: (573) 238-3344

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 3009749 Missouri

Profile Details

NPI number 1255596862
LBN Legal business name Diana'S Boarding Home, Inc
DBA Doing business as
Authorized official Cook, Diana F
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2008
Last updated Jul 23rd, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255596862 NPPES
Missouri MEDICAID M266733500

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