NPI 1306438825

Diana's Boarding Home 2 INC.

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

Practice location

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

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: 1306438825
Entity type: Organization
NPI issued: 5 Feb 2021
Record last updated: 5 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.