Beaconway Isl I, Llc in Marshall - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Beaconway Isl I, Llc - NPI 1982872149
Beaconway Isl I, Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Marshall, Missouri. Beaconway Isl I, Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Beaconway Isl I, Llc is 1982872149. The last update date is 2008-02-26.
Beaconway Isl I, Llc's current location address is 2606 Villa Ct, Marshall, Missouri. You can contact this provider via phone number 6602290175 and fax number 6608311189. The mailing address for Beaconway Isl I, Llc is 2606 Villa Ct, Marshall, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beaconway Isl I, Llc |
|---|---|
| Address | 2606 Villa Ct, Marshall, Missouri |
| Phone Number | 6602290175 |
| Fax Number | 6608311189 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Rogers Ben |
| Telephone Number | 6607263415 |
NPI Number Detail
| NPI Number | 1982872149 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2008-02-26 |
Provider Mailing Address Detail
| Address | 2606 Villa Ct |
|---|---|
| City | Marshall |
| State | Missouri (MO) |
| Post Code | 653409711 |
| Phone Number | 6602290175 |
| Fax Number | 6608311189 |
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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Post Comment/ Review Below
What is the Beaconway Isl I, Llc's 1982872149?
The Beaconway Isl I, Llc's NPI (National Provider Identifier) Number is 1982872149. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Beaconway Isl I, Llc is physically located?
The Beaconway Isl I, Llc is physically situated at the following address: 2606 Villa Ct, Marshall, MO, 653409711.
What is Beaconway Isl I, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Beaconway Isl I, Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date did the Beaconway Isl I, Llc receive its 1982872149 assignment from the Centers for Medicare & Medicaid Services?
The Beaconway Isl I, Llc was assigned its 1982872149 by the Centers for Medicare & Medicaid Services on 2008-02-11.
When was the information regarding Beaconway Isl I, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Beaconway Isl I, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-26.