Maryville Living Center

LBN: N & R Of Maryville Llc
Maryville Living Center is an health care organization with primary practice located at 524 N Laura St , Maryville MO 64468-1955. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. N & R Of Maryville Llc can be contacted via phone (660) 582-7447, or through Dasal, Mathias P via phone (573) 481-9625.

Contact Information

Primary practice address
524 N Laura St Maryville MO 64468-1955
Phone: (660) 582-7447
Fax: (660) 582-4027
Website:
Map and Directions
Authorized official contact:
Name: Dasal, Mathias P
Phone: (573) 481-9625

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 043410 Missouri
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 042102 Missouri

Profile Details

NPI number 1508311747
LBN Legal business name N & R Of Maryville Llc
DBA Doing business as Maryville Living Center
Authorized official Dasal, Mathias P
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2016
Last updated Nov 29th, 2016 - about 8 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 1508311747 NPPES
Missouri MEDICAID 101490902

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