Lisa Renee Bain
Individual provider Active NPI Adult Day Care Clinic/Center · Clinton, MO
NPI 1477955409 · NPPES record last updated Sep 22, 2014
Key facts
- NPI
- 1477955409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- Practice address
- 905 N Price LN
Clinton, MO 64735-1721 - Phone
- (660) 885-1095
- Fax
- (660) 885-1095
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mom and Pop'S Adult Care Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Yes |
Addresses
Primary practice location
905 N Price LN
Clinton, MO 64735-1721
Mailing address
905 N Price LN
Clinton, MO 64735-1721
Phone (660) 885-1095
Other providers in Clinton, MO
- Aura Care
- Brendan Bagley
- Jettie Ian Bailey
- John R Bailey
- Micaela Bailey
- Candice J. Baker
- Emily Kathleen Baker
- Ariana Barlow
- Margaret Ann Barr
- Cathryn Rae Barth
All providers in Clinton, MO · Adult Day Care Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.