Dungarvin Oklahoma Llc in Mendota Heights - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Dungarvin Oklahoma Llc - NPI 1992870679
Dungarvin Oklahoma Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Mendota Heights, Minnesota. Dungarvin Oklahoma 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 Oklahoma Llc is 1992870679. The last update date is 2023-04-27.
Dungarvin Oklahoma 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 Oklahoma Llc is 1444 Northland Dr Ste 200, Mendota Heights, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Dungarvin Oklahoma 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 | 1992870679 |
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Provider Enumeration Date | 2006-11-21 |
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 | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320900000X |
Licence No | 100631340H |
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
100631340H | OK | OHCA PROVIDER ID |
Post Comment/ Review Below
What is the unique identifier code issued to Dungarvin Oklahoma Llc by the Centers for Medicare & Medicaid Services?
The Dungarvin Oklahoma Llc has been assigned the NPI (National Provider Identifier) 1992870679. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Dungarvin Oklahoma Llc is geographically located?
The Dungarvin Oklahoma Llc is physically situated at the following location: 1444 Northland Dr Ste 200, Mendota Heights, MN, 551201032.
What is Dungarvin Oklahoma Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dungarvin Oklahoma 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 was the 1992870679 assigned to Dungarvin Oklahoma Llc?
The Dungarvin Oklahoma Llc was issued its 1992870679 on 2006-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Dungarvin Oklahoma Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dungarvin Oklahoma Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-04-27.