Ellendel Isl

LBN: Ellendel Isl Llc
Ellendel Isl is an health care organization with primary practice located at 1108 E Patterson Suite 9, Kirksville MO 63501. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Ellendel Isl Llc can be contacted via phone (660) 627-4101, or through Tomich, Rhoda Ellen via phone (660) 627-4101.

Contact Information

Primary practice address
1108 E Patterson Suite 9 Kirksville MO 63501
Phone: (660) 627-4101
Fax: (660) 665-0185
Website:
Map and Directions
Authorized official contact:
Name: Tomich, Rhoda Ellen
Phone: (660) 627-4101

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1235252826
LBN Legal business name Ellendel Isl Llc
DBA Doing business as Ellendel Isl
Authorized official Tomich, Rhoda Ellen
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Nov 25th, 2022 - about 2 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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