CARTHAGE RESDEINTAL LLC NPI 1568419364

NPI Information

CARTHAGE RESDEINTAL, LLC is an assisted living facility in Carthage, 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. CARTHAGE RESDEINTAL, LLC NPI is 1568419364. The provider is registered as an organization entity type.
The provider Is Doing Business As Maple Tree Terrace.

The provider's business location address is:

2510 CLINTON ST
CARTHAGE, MO
ZIP 64836-427
Phone: (417) 358-7201

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

The CLIA number assigned to this NPI record is 26D0912769 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 8/22/2020.

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:

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