Glenna Smith in Newburg - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Glenna Smith - NPI 1619091741
Glenna Smith is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Newburg, Missouri. Glenna Smith practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Glenna Smith is 1619091741. The last update date is 2010-02-17.
Glenna Smith's current location address is Po Box 347, Newburg, Missouri. You can contact this provider via phone number 5737623201. The mailing address for Glenna Smith is Po Box 347, Newburg, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenna Smith |
|---|---|
| Address | Po Box 347, Newburg, Missouri |
| Phone Number | 5737623201 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1619091741 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2010-02-17 |
Provider Mailing Address Detail
| Address | Po Box 347 |
|---|---|
| City | Newburg |
| State | Missouri (MO) |
| Post Code | 655500347 |
| Phone Number | 5737623201 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 5972-9429 |
|
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 |
|---|---|---|---|
| 854694106 | MO | -- |
Post Comment/ Review Below
What is the Glenna Smith's 1619091741?
The Glenna Smith's NPI (National Provider Identifier) Number is 1619091741. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Glenna Smith's physical address?
The Glenna Smith is physically located at Po Box 347, in the city of Newburg, MO, with the postal code 655500347.
What is the Glenna Smith's specialty and taxonomy code?
The Glenna Smith's specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.
On what date was the 1619091741 assigned to Glenna Smith?
The Glenna Smith was issued its 1619091741 on 2007-03-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Glenna Smith's details last updated?
The information pertaining to the Glenna Smith, including its address, specialty, and other details, was most recently updated on 2010-02-17.
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