DIANA'S BOARDING HOME 2 INC. is a community based residential treatment facility mental illness in Marble Hill, MO. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. DIANA'S BOARDING HOME 2 INC. NPI is 1306438825. The provider is registered as an organization entity type.
The provider's business location address is:
HC 64 4677
MARBLE HILL, MO
ZIP 63764
Phone: (573) 238-3344
Fax: (573) 238-3361
The provider's authorized official is Terry Dustin Wagner .
The authorized official title is Owner/president and has the following contact phone number (573) 238-3344.
The CLIA number assigned to this NPI record is 26D2117368 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/5/2021 and was last updated on 2/5/2021.