Maple Crest Residential Care Facility

LBN: Maple Crest Residential Care Facility
Maple Crest Residential Care Facility is an health care organization with primary practice located at 307 N Broadway St , Poplar Bluff MO 63901-5103. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Maple Crest Residential Care Facility can be contacted via phone (573) 686-4490, or through Keeney, Mark Allen via phone (573) 686-4490.

Contact Information

Primary practice address
307 N Broadway St Poplar Bluff MO 63901-5103
Phone: (573) 686-4490
Fax: (573) 686-8817
Website:
Map and Directions
Authorized official contact:
Name: Keeney, Mark Allen
Phone: (573) 686-4490

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Missouri

Profile Details

NPI number 1619147428
LBN Legal business name Maple Crest Residential Care Facility
DBA Doing business as
Authorized official Keeney, Mark Allen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2008
Last updated Mar 7th, 2008 - about 17 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.

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