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Contact Information

MENNONITE HOME ASSOCIATION, INC
641 EUCLID AVENUE
HANNIBAL, MO63401
 Phone: 573-406-1090
 Fax: 573-221-6172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for MENNONITE HOME ASSOCIATION, INC

NPI Number 1386851939
LBN Legal business name MENNONITE HOME ASSOCIATION, INC
Authorized official PAUL EWERT - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MO License # 034045
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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