Dungarvin Oklahoma Llc in Mendota Heights - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Dungarvin Oklahoma Llc - NPI 1356416028
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 1356416028. 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 | 1356416028 |
|---|---|
| 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 | 100631340D |
|
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 |
|---|---|---|---|
| 100631340D | OK | OHCA PROVIDER ID |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dungarvin Oklahoma Llc?
The Dungarvin Oklahoma Llc has been issued the NPI (National Provider Identifier) 1356416028 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Dungarvin Oklahoma Llc is physically located?
The Dungarvin Oklahoma Llc is physically situated at the following address: 1444 Northland Dr Ste 200, Mendota Heights, MN, 551201032.
What is Dungarvin Oklahoma Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dungarvin Oklahoma Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 320900000X.
On what date was the 1356416028 assigned to Dungarvin Oklahoma Llc?
The Dungarvin Oklahoma Llc was issued its 1356416028 on 2006-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Dungarvin Oklahoma Llc most recently updated or revised?
The details related to Dungarvin Oklahoma Llc, including its address, specialty, and other relevant information, were last updated or revised on 2023-04-27.
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