Dungarvin Oklahoma Llc in Mendota Heights - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Dungarvin Oklahoma Llc - NPI 1265507933
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 1265507933. 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 |
|---|---|
| Address | 1444 Northland Dr Ste 200, Mendota Heights, Minnesota |
| Phone Number | 6516990206 |
| Fax Number | 6516990799 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kress Lori |
| Telephone Number | 6516990206 |
NPI Number Detail
| NPI Number | 1265507933 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2023-04-27 |
Provider Mailing Address Detail
| Address | 1444 Northland Dr Ste 200 |
|---|---|
| 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 |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 100631340E |
|
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 |
|---|---|---|---|
| 100631340E | 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 (CMS)?
The Dungarvin Oklahoma Llc has been assigned the NPI (National Provider Identifier) 1265507933. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Dungarvin Oklahoma Llc?
The Dungarvin Oklahoma Llc is situated at 1444 Northland Dr Ste 200, in the city of Mendota Heights, state of MN, with the zip code 551201032.
What is Dungarvin Oklahoma Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dungarvin Oklahoma Llc'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 did Dungarvin Oklahoma Llc receive its 1265507933 assignment from the Centers for Medicare & Medicaid Services?
The Dungarvin Oklahoma Llc was assigned its 1265507933 on 2006-11-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Dungarvin Oklahoma Llc most recently updated or revised?
The information pertaining to Dungarvin Oklahoma Llc, including its address, specialty, and other relevant details, was last updated or revised on 2023-04-27.
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