Escape A&D, Llc in Moberly - Public Health Or Welfare

Escape A&D, Llc - NPI 1235304098

Escape A&D, Llc is a Public Health Or Welfare in Moberly, Missouri. Escape A&D, Llc practices all healthcare services and medical treatments related to Public Health Or Welfare. The NPI Number for Escape A&D, Llc is 1235304098. The last update date is 2008-04-23.

Escape A&D, Llc's current location address is 501 N Ault St, Moberly, Missouri. You can contact this provider via phone number 6602637552 and fax number 6602636593. The mailing address for Escape A&D, Llc is 501 N Ault St, Moberly, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Escape A&D, Llc
Address 501 N Ault St, Moberly, Missouri
Phone Number 6602637552
Fax Number 6602636593
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO PRIMAR
Authorized Official Name Eames Scott Jerry
Credentials MS MAC CAS
Telephone Number 6602637552

NPI Number Detail

NPI Number 1235304098
Provider Enumeration Date 2008-04-23
Last Updated Date 2008-04-23

Provider Mailing Address Detail

Address 501 N Ault St
City Moberly
State Missouri (MO)
Post Code 652702506
Phone Number 6602637552
Fax Number 6602636593

Provider's Primary Taxonomy Detail

Speciality Public Health Or Welfare
Taxonomy 251K00000X
Licence No 1253-10266
Definition:
Government-funded agency providing population health, disease prevention, emergency preparedness and health education services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SATOP 066 MO MO STATE CERTIFIED SUBSTANCE A
MAC 501662 NATIONAL ASSOCIATION OF ALCOHO
VENDOR 00061340 MO MISSOURI DEPARTMENT OF SOCIAL
CCCJS A11182 AMERICAN COLLEGE OF CERTIFIED
ICAADC 597 THE INTERNATIONAL CERTIFICATIO
1253-10266 MO MO STATE CERTIFIED INTENMSIVE
REACT R-319 MO MO STATE CERTIFIED REQUIRED ED
CASAC 542 MO MISSOURI SUBSTANCE ABUSE PROFE

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FAQs about Escape A&D, Llc

What is the unique identifier code issued to Escape A&D, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Escape A&D, Llc has been assigned the NPI (National Provider Identifier) 1235304098. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Escape A&D, Llc is located?

The Escape A&D, Llc is situated at the following address: 501 N Ault St, Moberly, MO, 652702506.

What is Escape A&D, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Escape A&D, Llc is Public Health Or Welfare, and the taxonomy code that categorizes this field of expertise is 251K00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1235304098 to Escape A&D, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1235304098 to Escape A&D, Llc on 2008-04-23.

As of what date was the information regarding Escape A&D, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Escape A&D, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-23.

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