Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diana's Boarding Home 1, Inc

Organization Assisted Living Facility · NPI 1275128845

Diana's Boarding Home 1, Inc is an Assisted Living Facility in Marble Hill, Missouri. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Hc 64 Box 4590
Marble Hill, MO 63764-9408
Phone: (573) 866-2010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X
Assisted Living Facility Taxonomy 310400000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X

Record details

NPI number1275128845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Wagner — Owner · (573) 866-2010
Other names Diana'S Boarding Home 1
NPI enumeratedMarch 5, 2021
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021
Mailing addressHc 64 Box 4590, Marble Hill, MO 63764-9408

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