Brookside Casa Isl

LBN: Brookside Casa Isl
Brookside Casa Isl is an health care organization with primary practice located at 506 Bremond St , Versailles MO 65084-1122. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Brookside Casa Isl can be contacted via phone (573) 378-2462, or through Spotila, Denise Lynn via phone (573) 378-2462.

Contact Information

Primary practice address
506 Bremond St Versailles MO 65084-1122
Phone: (573) 378-2462
Fax: (573) 378-2462
Website:
Map and Directions
Authorized official contact:
Name: Spotila, Denise Lynn
Phone: (573) 378-2462

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1740474600
LBN Legal business name Brookside Casa Isl
DBA Doing business as
Authorized official Spotila, Denise Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2007
Last updated Sep 4th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers