Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACIE LANE DAY HAB, LLC
Active OrganizationGRACIE LANE DAY HAB, LLC is a Emotionally Disturbed Children Residential Treatment organization located in KOSHKONONG, Missouri. NPI 1881055812 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · KOSHKONONG, MO
Registration Details
- NPI Number
- 1881055812
- Provider Type
- Organization
- NPI Issued
- Mar 18, 2016 (10.414699030835 yrs)
- Last Updated
- Mar 22, 2016
- Licenses
-
CC03100514 (MO)CC03100514 (MO)
Practice Information
- Address
-
RR 81 BOX 175KOSHKONONG, MO, 656928004Browse MO providers · Browse ZIP 65692
- Phone
- 4178673397
- Fax
- 4178673367
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.