Lbenholdings

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Park Hills, MO

NPI 1013564491 · NPPES record last updated Aug 21, 2019

Key facts

NPI
1013564491
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
LBENHOLDINGS
Practice address
301 Watts St
Park Hills, MO 63601-1839
Phone
(573) 330-3219
NPI assigned
Aug 21, 2019
Organization subpart
No

Authorized official

Name
Mr. Brian Charles Makler
Title
Owner
Phone
(573) 330-3219

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Lbenholdings (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Yes

Addresses

Primary practice location

301 Watts St
Park Hills, MO 63601-1839

Mailing address

PO Box 12
Park Hills, MO 63601-0012
Phone (573) 330-3219

Other providers in Park Hills, MO

All providers in Park Hills, MO · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Missouri

Sources for this page

Verify at the official NPI Registry.