Mashburn Residential Learning Center in Bolivar - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Mashburn Residential Learning Center - NPI 1831248517

Mashburn Residential Learning Center is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Bolivar, Missouri. Mashburn Residential Learning Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Mashburn Residential Learning Center is 1831248517. The last update date is 2020-08-22.

Mashburn Residential Learning Center's current location address is 807 N Briarwood Dr, Bolivar, Missouri. You can contact this provider via phone number 4173266512. The mailing address for Mashburn Residential Learning Center is 807 N Briarwood Dr, Bolivar, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mashburn Residential Learning Center
Address 807 N Briarwood Dr, Bolivar, Missouri
Phone Number 4173266512
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Mashburn L Linda
Telephone Number 4173266512

NPI Number Detail

NPI Number 1831248517
Provider Enumeration Date 2007-01-10
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 807 N Briarwood Dr
City Bolivar
State Missouri (MO)
Post Code 656131281
Phone Number 4173266512
Fax Number

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Licence No 14209362
Definition:
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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FAQs about Mashburn Residential Learning Center

What is the unique identifier code issued to Mashburn Residential Learning Center by the Centers for Medicare & Medicaid Services?

The Mashburn Residential Learning Center has been assigned the NPI (National Provider Identifier) 1831248517. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Mashburn Residential Learning Center is located?

The Mashburn Residential Learning Center is situated at the following address: 807 N Briarwood Dr, Bolivar, MO, 656131281.

What is Mashburn Residential Learning Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mashburn Residential Learning Center is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320600000X.

On what date did the Mashburn Residential Learning Center receive the assignment of its 1831248517 from the Centers for Medicare & Medicaid Services?

The Mashburn Residential Learning Center was issued its 1831248517 by the Centers for Medicare & Medicaid Services on 2007-01-10.

As of what date were the details pertaining to Mashburn Residential Learning Center last refreshed?

The information related to the Mashburn Residential Learning Center, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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