MASHBURN RESIDENTIAL LEARNING CENTER NPI 1831248517

NPI Information

NPI: 1831248517
Provider Name: MASHBURN RESIDENTIAL LEARNING CENTER
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
807 N BRIARWOOD DR
BOLIVAR, MO
ZIP 65613
Phone: (417) 326-6512
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MASHBURN RESIDENTIAL LEARNING CENTER is a residential treatment facility, intellectual and/or developmental disabilities in Bolivar, MO. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MASHBURN RESIDENTIAL LEARNING CENTER NPI is 1831248517. The provider is registered as an organization entity type.

The provider's business location address is:

807 N BRIARWOOD DR
BOLIVAR, MO
ZIP 65613-281
Phone: (417) 326-6512

The provider's authorized official is Linda L Mashburn .
The authorized official title is Owner and has the following contact phone number (417) 326-6512.

The enumeration date for this NPI number is 1/10/2007 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
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		14209362	MISSOURI	Yes

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

NPI Synchronization or Removal

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