NPI 1053827964

Dianas Boarding Home INC

Organisation Mental Illness Community Based Residential Treatment Facility Marble Hill, MO

Practice location

Address: Hc 64 Box 4683, Marble Hill, MO 63764
Phone: (573) 238-1300
Fax: (573) 238-1302

Authorised official

Name: Diana Faye Cook
Title: Owner/President
Phone: (573) 238-1300

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Missouri →

Registry record

NPI: 1053827964
Entity type: Organization
NPI issued: 15 Dec 2017
Record last updated: 15 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.