Alice Sue Conrad in Columbia - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Alice Sue Conrad - NPI 1922128487
Alice Sue Conrad is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Columbia, Missouri. Alice Sue Conrad practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Alice Sue Conrad is 1922128487. The last update date is 2008-06-13.
Alice Sue Conrad's current location address is 1407 Saint Andrew St, Columbia, Missouri. You can contact this provider via phone number 5738756751 and fax number 5734422086. The mailing address for Alice Sue Conrad is 1407 Saint Andrew St, Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Alice Sue Conrad |
|---|---|
| Address | 1407 Saint Andrew St, Columbia, Missouri |
| Phone Number | 5738756751 |
| Fax Number | 5734422086 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Conrad Sue Alice |
| Telephone Number | 5738756751 |
NPI Number Detail
| NPI Number | 1922128487 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 1407 Saint Andrew St |
|---|---|
| City | Columbia |
| State | Missouri (MO) |
| Post Code | 652032327 |
| Phone Number | 5738756751 |
| Fax Number | 5734422086 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 8001661 |
|
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. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Alice Sue Conrad by the Centers for Medicare & Medicaid Services?
The Alice Sue Conrad has been issued the NPI (National Provider Identifier) 1922128487 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Alice Sue Conrad located?
The Alice Sue Conrad is located at 1407 Saint Andrew St, Columbia, MO 652032327.
What is the Alice Sue Conrad's specialty and taxonomy code?
The Alice Sue Conrad's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
On what date was the 1922128487 assigned to Alice Sue Conrad?
The Alice Sue Conrad was issued its 1922128487 on 2007-03-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Alice Sue Conrad most recently updated or revised?
The details related to Alice Sue Conrad, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-13.
NPI Number: 1437156635
Address: 61 Corporate Cir, New Castle, DE
NPI Number: 1255325304
Address: 225 Abraham Flexner Way Ste 650, Louisville, KY