Magnolia Garden Adult Daycare

LBN: Northeast Independent Living Services
Magnolia Garden Adult Daycare is an health care organization with primary practice located at 909 Broadway Suite 350, Hannibal MO 63401-4249. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Northeast Independent Living Services can be contacted via phone (573) 221-8282, or through Fortner, Tara via phone (573) 221-8282.

Contact Information

Primary practice address
909 Broadway Suite 350 Hannibal MO 63401-4249
Phone: (573) 221-8282
Fax: (573) 221-8233
Website:
Map and Directions
Authorized official contact:
Name: Fortner, Tara
Phone: (573) 221-8282

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X 834 Missouri

Profile Details

NPI number 1861622128
LBN Legal business name Northeast Independent Living Services
DBA Doing business as Magnolia Garden Adult Daycare
Authorized official Fortner, Tara
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2009
Last updated Jul 21st, 2009 - about 15 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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