Ellendel Isl LLC
Ellendel Isl LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kirksville, Missouri. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1108 E Patterson Ste 9Kirksville, MO 63501
Phone: (660) 627-4101
Fax: (660) 665-0185
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1235252826 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rhoda Tomich — Owner/Manager · (660) 627-4101 |
| Other names | Ellendel Isl |
| NPI enumerated | April 9, 2007 |
| Last updated in NPPES | November 25, 2022 |
| Certification date | November 25, 2022 |
| Mailing address | 701 S Jamison, Kirksville, MO 63501 |
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