Darlene Marie Lonergan in Peculiar - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Darlene Marie Lonergan - NPI 1053515346
Darlene Marie Lonergan is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Peculiar, Missouri. Darlene Marie Lonergan practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Darlene Marie Lonergan is 1053515346. The last update date is 2007-07-08.
Darlene Marie Lonergan's current location address is 11304 Trevor Dr, Peculiar, Missouri. You can contact this provider via phone number 8167794242 and fax number 8167794242. The mailing address for Darlene Marie Lonergan is 11304 Trevor Dr, Peculiar, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darlene Marie Lonergan |
|---|---|
| Address | 11304 Trevor Dr, Peculiar, Missouri |
| Phone Number | 8167794242 |
| Fax Number | 8167794242 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1053515346 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11304 Trevor Dr |
|---|---|
| City | Peculiar |
| State | Missouri (MO) |
| Post Code | 640789314 |
| Phone Number | 8167794242 |
| Fax Number | 8167794242 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 83101 |
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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 provider identifier assigned to Darlene Marie Lonergan?
The Darlene Marie Lonergan has been issued the NPI (National Provider Identifier) 1053515346 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Darlene Marie Lonergan?
The Darlene Marie Lonergan is situated at 11304 Trevor Dr, in the city of Peculiar, state of MO, with the zip code 640789314.
What is Darlene Marie Lonergan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Darlene Marie Lonergan's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date was the 1053515346 assigned to Darlene Marie Lonergan?
The Darlene Marie Lonergan was issued its 1053515346 on 2007-06-12, 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 Darlene Marie Lonergan's details last updated?
The information pertaining to the Darlene Marie Lonergan, including its address, specialty, and other details, was most recently updated on 2007-07-08.