NPI:
1457424590
Provider Name:
MARK TWAIN ASSISTED LIVING INC.
Other Name: MARK TWAIN OF HUNTSVILLE
Classification:
Assisted Living Facility - 3104A0625X
Entity Type:
Organization
Specialization: Assisted Living, Mental Illness
CLIA Number: 26D0860411
Address:
901 UNION AVE
MOBERLY, MO
ZIP 65270
Phone:
(660) 263-6515
Get Directions
MARK TWAIN ASSISTED LIVING INC. is an assisted living and mental illness assisted living facility in Moberly, 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. MARK TWAIN ASSISTED LIVING INC. NPI is 1457424590. The provider is registered as an organization entity type.
The provider Other Name Is Mark Twain Of Huntsville.
The provider's business location address is:
901 UNION AVE
MOBERLY, MO
ZIP 65270-456
Phone: (660) 263-6515
Fax: (660) 263-0603
The provider's authorized official is Kathryn L Miller .
The authorized official title is Owner and has the following contact phone number (660) 263-6515.
The CLIA number assigned to this NPI record is 26D0860411 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/16/2006 and was last updated on 5/6/2010.