Dungarvin New Mexico Llc in Mendota Heights - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Dungarvin New Mexico Llc - NPI 1033288626
Dungarvin New Mexico Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Mendota Heights, Minnesota. Dungarvin New Mexico Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Dungarvin New Mexico Llc is 1033288626. The last update date is 2023-04-27.
Dungarvin New Mexico 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 New Mexico Llc is 1444 Northland Dr Ste 200, Mendota Heights, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dungarvin New Mexico Llc |
|---|---|
| Address | 1444 Northland Dr Ste 200, Mendota Heights, Minnesota |
| Phone Number | 6516990206 |
| Fax Number | 6516990799 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kress Lori |
| Telephone Number | 6516990206 |
NPI Number Detail
| NPI Number | 1033288626 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2023-04-27 |
Provider Mailing Address Detail
| Address | 1444 Northland Dr Ste 200 |
|---|---|
| City | Mendota Heights |
| State | Minnesota (MN) |
| Post Code | 551201032 |
| Phone Number | 6516990206 |
| Fax Number | 6516990799 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique 10-digit identification code assigned to Dungarvin New Mexico Llc by the Centers for Medicare & Medicaid Services?
The Dungarvin New Mexico Llc has been issued the NPI (National Provider Identifier) 1033288626, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dungarvin New Mexico Llc?
The Dungarvin New Mexico Llc is physically situated at 1444 Northland Dr Ste 200, in the city of Mendota Heights, state of MN, with the postal code 551201032.
What is Dungarvin New Mexico Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dungarvin New Mexico Llc's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033288626 to Dungarvin New Mexico Llc?
The Dungarvin New Mexico Llc received its 1033288626 assignment from the Centers for Medicare & Medicaid Services on 2006-11-07.
When was the Dungarvin New Mexico Llc's information last updated?
The Dungarvin New Mexico Llc's information was last updated on 2023-04-27.