Maple Crest Residential Care Facility in Poplar Bluff - Community Based Residential Treatment Facility, Mental Illness
Maple Crest Residential Care Facility - NPI 1619147428
Maple Crest Residential Care Facility is a Community Based Residential Treatment Facility, Mental Illness in Poplar Bluff, Missouri. Maple Crest Residential Care Facility practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Maple Crest Residential Care Facility is 1619147428. The last update date is 2008-03-07.
Maple Crest Residential Care Facility's current location address is 307 N Broadway St, Poplar Bluff, Missouri. You can contact this provider via phone number 5736864490. The mailing address for Maple Crest Residential Care Facility is 307 N Broadway St, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maple Crest Residential Care Facility |
|---|---|
| Address | 307 N Broadway St, Poplar Bluff, Missouri |
| Phone Number | 5736864490 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Keeney Allen Mark |
| Telephone Number | 5736864490 |
NPI Number Detail
| NPI Number | 1619147428 |
|---|---|
| Provider Enumeration Date | 2008-03-07 |
| Last Updated Date | 2008-03-07 |
Provider Mailing Address Detail
| Address | 307 N Broadway St |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639015103 |
| Phone Number | 5736864490 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Maple Crest Residential Care Facility by the Centers for Medicare & Medicaid Services?
The Maple Crest Residential Care Facility has been issued the NPI (National Provider Identifier) 1619147428 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Maple Crest Residential Care Facility?
The Maple Crest Residential Care Facility is situated at 307 N Broadway St, in the city of Poplar Bluff, state of MO, with the zip code 639015103.
What is Maple Crest Residential Care Facility's area of expertise and its corresponding taxonomy classification?
The Maple Crest Residential Care Facility's field of specialization is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1619147428 assigned to Maple Crest Residential Care Facility?
The Maple Crest Residential Care Facility was issued its 1619147428 on 2008-03-07, 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 Maple Crest Residential Care Facility most recently updated or revised?
The details related to Maple Crest Residential Care Facility, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-07.