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RUDROFF ISL LLC NPI 1831319177


NPI Information

NPI: 1831319177
Provider Name: RUDROFF ISL, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1207 E MAIN ST
LINN, MO
ZIP 65051
Phone: (573) 897-4700
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RUDROFF ISL, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Linn, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. RUDROFF ISL, LLC NPI is 1831319177. The provider is registered as an organization entity type.

The provider's business location address is:

1207 E MAIN ST
LINN, MO
ZIP 65051
Phone: (573) 897-4700
Fax: (573) 897-0256

The provider's authorized official is Terry Mark Rudroff .
The authorized official title is Administrator Owner and has the following contact phone number (573) 897-4700.

The enumeration date for this NPI number is 4/27/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMISSOURIYes

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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