Maurizi Isl Home

LBN: Maurizi Isl Home
Maurizi Isl Home is an health care organization with primary practice located at 2015 Woodhollow Dr , Columbia MO 65203-0909. 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. Maurizi Isl Home can be contacted via phone (573) 256-1296, or through Maurizi, Tina D via phone (573) 256-1296.

Contact Information

Primary practice address
2015 Woodhollow Dr Columbia MO 65203-0909
Phone: (573) 256-1296
Fax: (573) 256-1016
Website:
Map and Directions
Authorized official contact:
Name: Maurizi, Tina D
Phone: (573) 256-1296

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 856917109 Missouri

Profile Details

NPI number 1184754046
LBN Legal business name Maurizi Isl Home
DBA Doing business as
Authorized official Maurizi, Tina D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Apr 9th, 2008 - about 16 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 1184754046 NPPES
Missouri MEDICAID 856917109

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