NPI 1285227397

Diana's Boarding Home 2 INC

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

Practice location

Address: 4677 State Hwy M, Marble Hill, MO 63764-9408
Phone: (573) 238-3344
Fax: (573) 238-3361
Mailing address: Hc 64 Box 4677, Marble Hill, MO 63764-9408

Authorised official

Name: Terry Dustin Wagner
Title: Owner/President
Phone: (573) 238-3344

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: 1285227397
Entity type: Organization
NPI issued: 19 Feb 2021
Record last updated: 19 Feb 2021

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.