MASHBURN RESIDENTIAL LEARNING CENTER
NPI 1831248517
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bolivar, MO
- Organization
- Residential Treatment Facility, Intellec...
About MASHBURN RESIDENTIAL LEARNING CENTER
This page provides the complete NPI Profile along with additional information for Mashburn Residential Learning Center, a provider established in Bolivar, Missouri operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1831248517 assigned on January 2007. The practitioner's primary taxonomy code is 320600000X with license number 14209362 (MO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Linda L Mashburn (Owner)
- NPI
- 1831248517 Verify this NPI
- Provider Name
- MASHBURN RESIDENTIAL LEARNING CENTER
- Entity Type
- Organization
- Location Address
- 807 N BRIARWOOD DR BOLIVAR, MO 65613
- Location Phone
- (417) 326-6512
- Mailing Address
- 807 N BRIARWOOD DR BOLIVAR, MO 65613
- Mailing Phone
- (417) 326-6512
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-10-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- 14209362
- License State
- MO
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831248517, enumerated as an "organization" on January 10, 2007.
The provider is located at 807 N BRIARWOOD DR BOLIVAR, MO 65613 and the phone number is (417) 326-6512.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
