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MILAN RESIDENTIAL LLC NPI 1396202552


NPI Information

NPI: 1396202552
Provider Name: MILAN RESIDENTIAL, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 44D0931700

Address:
2080 CRAIG DR
MILAN, TN
ZIP 38358
Phone: (731) 723-7570
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MILAN RESIDENTIAL, LLC is an assisted living facility in Milan, TN. 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. MILAN RESIDENTIAL, LLC NPI is 1396202552. The provider is registered as an organization entity type.

The provider's business location address is:

2080 CRAIG DR
MILAN, TN
ZIP 38358-186
Phone: (731) 723-7570

The provider's authorized official is James Reiker .
The authorized official title is Vp Of Finance and has the following contact phone number (573) 471-1113.

The CLIA number assigned to this NPI record is 44D0931700 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2019 and was last updated on 2/25/2019.


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
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: 5/5/2024

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