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OWEN ACRES LLC NPI 1295325843


NPI Information

NPI: 1295325843
Provider Name: OWEN ACRES LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D0967740

Address:
614 COUNTY ROAD 466
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 778-0497
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OWEN ACRES LLC is an assisted living facility in Poplar Bluff, MO. The provider is 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. OWEN ACRES LLC NPI is 1295325843. The provider is registered as an organization entity type.

The provider's business location address is:

614 COUNTY ROAD 466
POPLAR BLUFF, MO
ZIP 63901-964
Phone: (573) 778-0497
Fax: (573) 785-9509

The provider's authorized official is Kristin Leeann Switzer .
The authorized official title is Owner and has the following contact phone number (573) 718-3885.

The CLIA number assigned to this NPI record is 26D0967740 - other - residential care facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2021 and was last updated on 1/18/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

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: 4/28/2024

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