MR. ERIC VAHLE NPI 1124561907

NPI Information

NPI: 1124561907
Provider Name: MR. ERIC VAHLE
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
3611 WAKEFIELD DR
COLUMBIA, MO
ZIP 65203
Phone: (573) 881-9624
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MR. Eric Vahle is a community based residential treatment facility, intellectual and/or developmental disabilities in Columbia, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MR. Eric Vahle NPI is 1124561907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3611 WAKEFIELD DR
COLUMBIA, MO
ZIP 65203-462
Phone: (573) 881-9624

The enumeration date for this NPI number is 11/28/2016 and was last updated on 11/28/2016.

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	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				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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