Life Enhancement Village Of Branson in Walnut Shade - Assisted Living, Mental Illness
Life Enhancement Village Of Branson - NPI 1689842916
Life Enhancement Village Of Branson is a Assisted Living, Mental Illness in Walnut Shade, Missouri. Life Enhancement Village Of Branson practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Life Enhancement Village Of Branson is 1689842916. The last update date is 2008-02-20.
Life Enhancement Village Of Branson's current location address is 421 Oak Ridge Rd, Walnut Shade, Missouri. You can contact this provider via phone number 4175615395 and fax number 4175615395. The mailing address for Life Enhancement Village Of Branson is 421 Oak Ridge Rd, Walnut Shade, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life Enhancement Village Of Branson |
|---|---|
| Address | 421 Oak Ridge Rd, Walnut Shade, Missouri |
| Phone Number | 4175615395 |
| Fax Number | 4175615395 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Rogers Kenny |
| Telephone Number | 4177256680 |
NPI Number Detail
| NPI Number | 1689842916 |
|---|---|
| Provider Enumeration Date | 2008-02-20 |
| Last Updated Date | 2008-02-20 |
Provider Mailing Address Detail
| Address | 421 Oak Ridge Rd |
|---|---|
| City | Walnut Shade |
| State | Missouri (MO) |
| Post Code | 657719173 |
| Phone Number | 4175615395 |
| Fax Number | 4175615395 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
| Licence No | 328545 |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff w |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8611209 | MO | -- |
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What is the unique 10-digit identification code issued to Life Enhancement Village Of Branson by the Centers for Medicare & Medicaid Services?
The Life Enhancement Village Of Branson has been assigned the NPI (National Provider Identifier) 1689842916 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Life Enhancement Village Of Branson's facilities are geographically located?
The facilities of Life Enhancement Village Of Branson are physically situated at the following location: 421 Oak Ridge Rd, Walnut Shade, MO, 657719173.
What is Life Enhancement Village Of Branson's area of expertise and its corresponding taxonomy classification?
The Life Enhancement Village Of Branson's field of specialization is Assisted Living, Mental Illness, and it falls under the taxonomy code 3104A0625X, which categorizes healthcare providers based on their areas of practice.
When did the Life Enhancement Village Of Branson receive its 1689842916?
The Life Enhancement Village Of Branson was issued its 1689842916 on 2008-02-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Life Enhancement Village Of Branson last refreshed?
The information related to the Life Enhancement Village Of Branson, including its address, specialty, and other relevant details, was last updated on 2008-02-20.