Dba Mcwilliams Manor Isl
LBN: Mcwilliams Manor, Incorporated
Dba Mcwilliams Manor Isl is an health care organization with primary practice located at 3439 S Westwood Blvd , Poplar Bluff MO 63901-8670. 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.
Mcwilliams Manor, Incorporated can be contacted via phone (573) 727-9760, or through Westover-Mcwilliams, Patricia L via phone (573) 727-9760.
Contact Information
Primary practice address
3439 S Westwood Blvd
Poplar Bluff MO 63901-8670
Phone: (573) 727-9760
Fax: (573) 727-9760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 8001561 | Missouri |
Profile Details
| NPI number | 1699808766 |
|---|---|
| LBN Legal business name | Mcwilliams Manor, Incorporated |
| DBA Doing business as | Dba Mcwilliams Manor Isl |
| Authorized official | Westover-Mcwilliams, Patricia L MRN |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Feb 17th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699808766 | NPPES |
| Missouri | MEDICAID | 858524713 |
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