4-Acres Inc Dba Forakers Summerhouse in Walnut Shade - Adult Care Home
4-Acres Inc Dba Forakers Summerhouse - NPI 1538369145
4-Acres Inc Dba Forakers Summerhouse is a Adult Care Home in Walnut Shade, Missouri. 4-Acres Inc Dba Forakers Summerhouse practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for 4-Acres Inc Dba Forakers Summerhouse is 1538369145. The last update date is 2008-07-22.
4-Acres Inc Dba Forakers Summerhouse's current location address is 2163 Round Mountain Rd, Walnut Shade, Missouri. You can contact this provider via phone number 4175614544 and fax number 4175614544. The mailing address for 4-Acres Inc Dba Forakers Summerhouse is 2163 Round Mountain Rd, Walnut Shade, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 4-Acres Inc Dba Forakers Summerhouse |
|---|---|
| Address | 2163 Round Mountain Rd, Walnut Shade, Missouri |
| Phone Number | 4175614544 |
| Fax Number | 4175614544 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Foraker Karin |
| Telephone Number | 4175614544 |
NPI Number Detail
| NPI Number | 1538369145 |
|---|---|
| Provider Enumeration Date | 2007-07-21 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 2163 Round Mountain Rd |
|---|---|
| City | Walnut Shade |
| State | Missouri (MO) |
| Post Code | 657719155 |
| Phone Number | 4175614544 |
| Fax Number | 4175614544 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | 31991 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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What is the 4-Acres Inc Dba Forakers Summerhouse's unique identification number?
The 4-Acres Inc Dba Forakers Summerhouse has been assigned the NPI (National Provider Identifier) Number 1538369145 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of 4-Acres Inc Dba Forakers Summerhouse?
The 4-Acres Inc Dba Forakers Summerhouse is physically situated at 2163 Round Mountain Rd, in the city of Walnut Shade, state of MO, with the postal code 657719155.
What is the 4-Acres Inc Dba Forakers Summerhouse's specialty and taxonomy code?
The 4-Acres Inc Dba Forakers Summerhouse's specialty is Adult Care Home, and the corresponding taxonomy code is 311Za0620X.
On what date did 4-Acres Inc Dba Forakers Summerhouse receive its 1538369145 assignment from the Centers for Medicare & Medicaid Services?
The 4-Acres Inc Dba Forakers Summerhouse was assigned its 1538369145 on 2007-07-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to 4-Acres Inc Dba Forakers Summerhouse most recently updated or revised?
The details related to 4-Acres Inc Dba Forakers Summerhouse, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-22.