26D0881291 CLIA NUMBER - WESTPORT ESTATES ASSISTED LIVING BY AMERICARE

Laboratory Demographics

CLIA Number: 26D0881291

Facility Name: WESTPORT ESTATES ASSISTED LIVING BY AMERICARE

Facility Address:
904 APACHE DRIVE
MARSHALL, MO
ZIP 65340
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Facility Phone Number: 816 886-5500

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1750338422

Taxonomy: 310400000X - Assisted Living Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	26D0881291
LAB Type	Assisted Living Facility
Facility Name	WESTPORT ESTATES ASSISTED LIVING BY AMERICARE
Street	904 APACHE DRIVE
City	MARSHALL
State	MO
ZIP	65340
Phone	816 886-5500
CertificateType	4
CertificateEffectiveDate	1/6/2024
CertificateExpirationDate	1/5/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024