White Family Isl

LBN: Jackie R White
White Family Isl is an health care organization with primary practice located at 730 Ne 25Th St , Galt MO 64641-9153. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Jackie R White can be contacted via phone (660) 673-6139, or through White, Jackie R via phone (660) 673-6139.

Contact Information

Primary practice address
730 Ne 25Th St Galt MO 64641-9153
Phone: (660) 673-6139
Fax:
Website:
Map and Directions
Authorized official contact:
Name: White, Jackie R
Phone: (660) 673-6139

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1922204619
LBN Legal business name Jackie R White
DBA Doing business as White Family Isl
Authorized official White, Jackie R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated Jul 22nd, 2008 - about 17 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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