NPI:
1346392081
Provider Name:
BRAUN ENTERPRISES, INC
Doing Business As: SOUTHSIDE TOWNE HOUSE
Classification:
Assisted Living Facility - 3104A0625X
Entity Type:
Organization
Specialization: Assisted Living, Mental Illness
CLIA Number: 26D1079006
Address:
510 S WASHINGTON ST
MEXICO, MO
ZIP 65265
Phone:
(573) 581-3203
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BRAUN ENTERPRISES, INC is an assisted living and mental illness assisted living facility in Mexico, MO. The provider is 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. BRAUN ENTERPRISES, INC NPI is 1346392081. The provider is registered as an organization entity type.
The provider Is Doing Business As Southside Towne House.
The provider's business location address is:
510 S WASHINGTON ST
MEXICO, MO
ZIP 65265-657
Phone: (573) 581-3203
Fax: (573) 581-6544
The provider's authorized official is Sue Rudroff .
The authorized official title is Administrator and has the following contact phone number (573) 489-0246.
The CLIA number assigned to this NPI record is 26D1079006 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/22/2020.