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CLINTON RESIDENTIAL LLC NPI 1376599605


NPI Information

NPI: 1376599605
Provider Name: CLINTON RESIDENTIAL, LLC

Doing Business As: GLENDALE GARDENS ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1300 S MAIN ST
CLINTON, MO
ZIP 64735
Phone: (660) 885-2272
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CLINTON RESIDENTIAL, LLC is an assisted living facility in Clinton, 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. CLINTON RESIDENTIAL, LLC NPI is 1376599605. The provider is registered as an organization entity type.
The provider Is Doing Business As Glendale Gardens Assisted Living.

The provider's business location address is:

1300 S MAIN ST
CLINTON, MO
ZIP 64735-728
Phone: (660) 885-2272

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 enumeration date for this NPI number is 5/26/2006 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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