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LABONNE MAISON RESIDENTIAL LLC NPI 1316993025


NPI Information

NPI: 1316993025
Provider Name: LABONNE MAISON RESIDENTIAL, LLC

Doing Business As: WESTRIDGE PLACE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D2063935

Address:
539 N WEST ST
SIKESTON, MO
ZIP 63801
Phone: (573) 471-6484
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LABONNE MAISON RESIDENTIAL, LLC is an assisted living facility in Sikeston, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LABONNE MAISON RESIDENTIAL, LLC NPI is 1316993025. The provider is registered as an organization entity type.
The provider Is Doing Business As Westridge Place.

The provider's business location address is:

539 N WEST ST
SIKESTON, MO
ZIP 63801-443
Phone: (573) 471-6484

The provider's authorized official is James Reiker .
The authorized official title is Treasurer and has the following contact phone number (573) 471-1113.

The CLIA number assigned to this NPI record is 26D2063935 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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