Rolla Residential, Llc in Rolla - Assisted Living Facility
Rolla Residential, Llc - NPI 1972559276
Rolla Residential, Llc is a Assisted Living Facility in Rolla, Missouri. Rolla Residential, Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Rolla Residential, Llc is 1972559276. The last update date is 2018-04-27.
Rolla Residential, Llc's current location address is 2100 Parkside Ave, Rolla, Missouri. You can contact this provider via phone number 5733080384 and fax number 5733081644. The mailing address for Rolla Residential, Llc is 2100 Parkside Ave, Rolla, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rolla Residential, Llc |
|---|---|
| Address | 2100 Parkside Ave, Rolla, Missouri |
| Phone Number | 5733080384 |
| Fax Number | 5733081644 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURER |
|---|---|
| Authorized Official Name | Reiker James |
| Telephone Number | 5734711113 |
NPI Number Detail
| NPI Number | 1972559276 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2018-04-27 |
Provider Mailing Address Detail
| Address | 2100 Parkside Ave |
|---|---|
| City | Rolla |
| State | Missouri (MO) |
| Post Code | 654015472 |
| Phone Number | 5733080384 |
| Fax Number | 5733081644 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| UNKNOWN | MO | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Rolla Residential, Llc by the Centers for Medicare & Medicaid Services?
The Rolla Residential, Llc has been issued the NPI (National Provider Identifier) 1972559276. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Rolla Residential, Llc?
The Rolla Residential, Llc is situated at 2100 Parkside Ave, in the city of Rolla, state of MO, with the zip code 654015472.
What is Rolla Residential, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Rolla Residential, Llc's area of specialization is Assisted Living Facility, and the corresponding taxonomy code that categorizes this field of practice is 310400000X.
When was the Rolla Residential, Llc's 1972559276 issued?
The Rolla Residential, Llc's 1972559276 was issued on 2006-05-26.
When was the information regarding Rolla Residential, Llc most recently updated?
The details pertaining to the Rolla Residential, Llc, including its address, specialty, and other relevant information, were last refreshed on 2018-04-27.
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