Mulberry Street Llc

LBN: Mulberry Street Llc
Mulberry Street Llc is an health care organization with primary practice located at 1519 Sw State Route 7 , Blue Springs MO 64014-3944. 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. Mulberry Street Llc can be contacted via phone (816) 224-2000, or through Mack, Diane Marie via phone (816) 224-2000.

Contact Information

Primary practice address
1519 Sw State Route 7 Blue Springs MO 64014-3944
Phone: (816) 224-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mack, Diane Marie
Phone: (816) 224-2000

Health care specialties

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

Profile Details

NPI number 1902099013
LBN Legal business name Mulberry Street Llc
DBA Doing business as
Authorized official Mack, Diane Marie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2007
Last updated Jan 7th, 2013 - about 11 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.

Request for update

Popular Providers