Tammy Michelle Stone
Individual provider Active NPI Assisted Living Facility (Mental Illness) · Adrian, MO
NPI 1609387240 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1609387240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility (Mental Illness) 3104A0625X
- Practice address
- 431 NE County Road 10564
Adrian, MO 64720-5111 - Phone
- (660) 424-4080
- NPI assigned
- Oct 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | Yes |
Addresses
Primary practice location
431 NE County Road 10564
Adrian, MO 64720-5111
Mailing address
466 NE County Road 10564
Adrian, MO 64720-5111
Phone (660) 424-4080
Other providers in Adrian, MO
- Melissa M Lane
- Phyllis M Miller
- James Naber
- Ann Schrock
- Spectrum Partners L.L.C.
- Shelby Strauch
- Debra Jean Stuntebeck
- The Baptist Home
- Laura J Thiem
- Georgia Underwood
All providers in Adrian, MO · Assisted Living Facility (Mental Illness) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. 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.