Marys Village Foundation

LBN: Marys Village Foundation
Marys Village Foundation is an health care organization with primary practice located at 3922 N Belt W , Belleville IL 62226-5608. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Marys Village Foundation can be contacted via phone (618) 974-4807, or through Doss, Shanta via phone (618) 974-4807.

Contact Information

Primary practice address
3922 N Belt W Belleville IL 62226-5608
Phone: (618) 974-4807
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Doss, Shanta MS
Phone: (618) 974-4807

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1104560838
LBN Legal business name Marys Village Foundation
DBA Doing business as
Authorized official Doss, Shanta MS
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2022
Last updated Apr 27th, 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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