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SILEX RESIDENTIAL HOME LLC NPI 1821470436


NPI Information

NPI: 1821470436
Provider Name: SILEX RESIDENTIAL HOME LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D0652113

Address:
145 DUNCAN MANSION DR
SILEX, MO
ZIP 63377
Phone: (573) 384-5213
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SILEX RESIDENTIAL HOME LLC is an assisted living facility in Silex, 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. SILEX RESIDENTIAL HOME LLC NPI is 1821470436. The provider is registered as an organization entity type.

The provider's business location address is:

145 DUNCAN MANSION DR
SILEX, MO
ZIP 63377-229
Phone: (573) 384-5213
Fax: (573) 384-5209

The provider's authorized official is Lamona Price .
The authorized official title is Owner/administrator and has the following contact phone number (573) 384-5213.

The CLIA number assigned to this NPI record is 26D0652113 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2015 and was last updated on 6/19/2015.


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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