Visions Isl

LBN: Jody House Llc
Visions Isl is an health care organization with primary practice located at 602 North Walnut 2608 Brook, Rolla MO 65401. 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. Jody House Llc can be contacted via phone (573) 578-2979, or through Ruck, Ruth Lee via phone (573) 578-2979.

Contact Information

Primary practice address
602 North Walnut 2608 Brook Rolla MO 65401
Phone: (573) 578-2979
Fax: (572) 364-4778
Website:
Map and Directions
Authorized official contact:
Name: Ruck, Ruth Lee
Phone: (573) 578-2979

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 265068694 Missouri

Profile Details

NPI number 1700901816
LBN Legal business name Jody House Llc
DBA Doing business as Visions Isl
Authorized official Ruck, Ruth Lee
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700901816 NPPES
Missouri MEDICAID 856095401

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