Wagner Residential Care Inc

LBN: Wagner Residential Care Inc
Wagner Residential Care Inc is an health care organization with primary practice located at 320 N Chamber Dr , Fredericktown MO 63645-0320. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Wagner Residential Care Inc can be contacted via phone (573) 783-4511, or through Wagner, Teena via phone (573) 783-4511.

Contact Information

Primary practice address
320 N Chamber Dr Fredericktown MO 63645-0320
Phone: (573) 783-4511
Fax: (573) 783-4513
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Teena
Phone: (573) 783-4511

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 040545 Missouri

Profile Details

NPI number 1154673887
LBN Legal business name Wagner Residential Care Inc
DBA Doing business as
Authorized official Wagner, Teena
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2012
Last updated Apr 4th, 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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