BOONE SUPPORTED LIVING, LLC
NPI 1568680403
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hannibal, MO
About Boone Supported Living, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOONE SUPPORTED LIVING, LLC (NPI 1568680403) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Hannibal, Missouri and active in the NPI registry since April 2007. The organization lists Julie Walden, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Boone Supported Living, LLC's NPI number?
The NPI number for Boone Supported Living, LLC is 1568680403. It was assigned to this organization in the NPPES registry on April 24, 2007.
Where is Boone Supported Living, LLC located?
Boone Supported Living, LLC is located at 5 Marsh Cir, Hannibal, MO 63401. The listed phone number is (573) 406-8010.
What is Boone Supported Living, LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Boone Supported Living, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Boone Supported Living, Llc · NPI 1568680403
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Hannibal, Missouri. Organization record, active in the CMS NPPES registry since April 24, 2007.
## Identity
- **NPI:** 1568680403 (Entity type: Organization)
- **Enumerated:** April 24, 2007
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Julie Walden, MEMBER
## Practice location
- **Address:** 5 MARSH CIR, Hannibal, MO 63401-2479
- **Phone:** (573) 406-8010
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1568680403) · Data from the CMS NPPES public registry.