Pony Bird Incorporated in Mapaville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Pony Bird Incorporated - NPI 1629198031
Pony Bird Incorporated is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Mapaville, Missouri. Pony Bird Incorporated practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Pony Bird Incorporated is 1629198031. The last update date is 2020-08-22.
Pony Bird Incorporated's current location address is Po Box 190, Mapaville, Missouri. You can contact this provider via phone number 6369315818. The mailing address for Pony Bird Incorporated is Po Box 190, Mapaville, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Pony Bird Incorporated |
---|---|
Address | Po Box 190, Mapaville, Missouri |
Phone Number | 6369315818 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
---|---|
Authorized Official Name | Dallas M Linda |
Credentials | BSN, MAHSM |
Telephone Number | 6369315818 |
NPI Number Detail
NPI Number | 1629198031 |
---|---|
Provider Enumeration Date | 2007-03-30 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | Po Box 190 |
---|---|
City | Mapaville |
State | Missouri (MO) |
Post Code | 630650190 |
Phone Number | 6369315818 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
---|---|
Taxonomy | 320600000X |
Licence No | 1351-8421 |
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 identification code issued to Pony Bird Incorporated by the Centers for Medicare & Medicaid Services?
The Pony Bird Incorporated has been assigned the NPI (National Provider Identifier) 1629198031 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Pony Bird Incorporated is physically located?
The Pony Bird Incorporated is situated at the following address: Po Box 190, Mapaville, MO 630650190.
What is Pony Bird Incorporated's area of expertise and its corresponding taxonomy classification?
The Pony Bird Incorporated's field of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Pony Bird Incorporated receive the assignment of its 1629198031 from the Centers for Medicare & Medicaid Services?
The Pony Bird Incorporated was issued its 1629198031 by the Centers for Medicare & Medicaid Services on 2007-03-30.
When was the information regarding Pony Bird Incorporated most recently updated?
The details pertaining to the Pony Bird Incorporated, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.