26D2142479 CLIA NUMBER - BARNABAS REDWOOD MANOR

Laboratory Demographics

CLIA Number: 26D2142479

Facility Name: BARNABAS REDWOOD MANOR

Facility Address:
1194 LANDON ROAD
BOURBON, MO
ZIP 65441
Get Directions

Facility Phone Number: 573 468-8150

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1669801668

Taxonomy: 3104A0625X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

CLIA Record

Field Name	Field Value
CLIA Number	26D2142479
LAB Type	Assisted Living Facility
Facility Name	BARNABAS REDWOOD MANOR
Street	1194 LANDON ROAD
City	BOURBON
State	MO
ZIP	65441
Phone	573 468-8150
CertificateType	4
CertificateEffectiveDate	1/11/2024
CertificateExpirationDate	1/10/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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