Kings Vista Llc in Marshall - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Kings Vista Llc - NPI 1639347750
Kings Vista Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Marshall, Missouri. Kings Vista Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Kings Vista Llc is 1639347750. The last update date is 2008-02-11.
Kings Vista Llc's current location address is 628 E High St, Marshall, Missouri. You can contact this provider via phone number 6608862975 and fax number 6608862975. The mailing address for Kings Vista Llc is 628 E High St, Marshall, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kings Vista Llc |
|---|---|
| Address | 628 E High St, Marshall, Missouri |
| Phone Number | 6608862975 |
| Fax Number | 6608862975 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | King T Robert |
| Telephone Number | 6608862975 |
NPI Number Detail
| NPI Number | 1639347750 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 628 E High St |
|---|---|
| City | Marshall |
| State | Missouri (MO) |
| Post Code | 653401294 |
| Phone Number | 6608862975 |
| Fax Number | 6608862975 |
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 identifier code issued to Kings Vista Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Kings Vista Llc has been assigned the NPI (National Provider Identifier) 1639347750. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Kings Vista Llc?
The Kings Vista Llc is physically situated at 628 E High St, in the city of Marshall, state of MO, with the postal code 653401294.
What is Kings Vista Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kings Vista Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date was the 1639347750 assigned to Kings Vista Llc?
The Kings Vista Llc was issued its 1639347750 on 2008-02-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Kings Vista Llc's information last updated?
The Kings Vista Llc's information was last updated on 2008-02-11.