Dungarvin Indiana, Llc in Mendota Heights - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Dungarvin Indiana, Llc - NPI 1275743205
Dungarvin Indiana, Llc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Mendota Heights, Minnesota. Dungarvin Indiana, Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Dungarvin Indiana, Llc is 1275743205. The last update date is 2023-04-27.
Dungarvin Indiana, Llc's current location address is 1444 Northland Dr Ste 200, Mendota Heights, Minnesota. You can contact this provider via phone number 6516990206 and fax number 6516990799. The mailing address for Dungarvin Indiana, Llc is 1444 Northland Dr Ste 200, Mendota Heights, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Dungarvin Indiana, Llc |
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Address | 1444 Northland Dr Ste 200, Mendota Heights, Minnesota |
Phone Number | 6516990206 |
Fax Number | 6516990799 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Kress Lori |
Telephone Number | 6516990206 |
NPI Number Detail
NPI Number | 1275743205 |
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Provider Enumeration Date | 2007-05-22 |
Last Updated Date | 2023-04-27 |
Provider Mailing Address Detail
Address | 1444 Northland Dr Ste 200 |
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City | Mendota Heights |
State | Minnesota (MN) |
Post Code | 551201032 |
Phone Number | 6516990206 |
Fax Number | 6516990799 |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320600000X |
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. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
100239960 | IN | -- | |
100245120 | IN | -- | |
100245230 | IN | -- | |
100244770 | IN | -- | |
100244780 | IN | -- | |
100239800 | IN | -- | |
100244830 | IN | -- | |
100244950 | IN | -- | |
100230070 | IN | -- |
Post Comment/ Review Below
What is the Dungarvin Indiana, Llc's unique identification number?
The Dungarvin Indiana, Llc has been assigned the NPI (National Provider Identifier) Number 1275743205 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Dungarvin Indiana, Llc is geographically located?
The Dungarvin Indiana, Llc is physically situated at the following location: 1444 Northland Dr Ste 200, Mendota Heights, MN, 551201032.
What is Dungarvin Indiana, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dungarvin Indiana, Llc is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320600000X.
On what date did the Dungarvin Indiana, Llc receive its 1275743205 assignment from the Centers for Medicare & Medicaid Services?
The Dungarvin Indiana, Llc was assigned its 1275743205 by the Centers for Medicare & Medicaid Services on 2007-05-22.
As of what date was the information regarding Dungarvin Indiana, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dungarvin Indiana, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-04-27.