Elsinore Construction & Remodeling LLC
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Warrenton, MO
NPI 1740612290 · NPPES record last updated Aug 7, 2013
Key facts
- NPI
- 1740612290
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- ELSINORE CONSTRUCTION & REMODELING LLC
- Practice address
- 28461 Sunnyside Rd
Warrenton, MO 63383-6628 - Phone
- (314) 280-8776
- NPI assigned
- Aug 7, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Richard Scott Dicus
- Title
- Owner
- Phone
- (314) 280-8776
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
28461 Sunnyside Rd
Warrenton, MO 63383-6628
Mailing address
28461 Sunnyside Rd
Warrenton, MO 63383-6628
Phone (314) 280-8776
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- Tina Marie Dunkin
- Jordyn Ehlmann
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- Lawrence William Ernst
- Skylar Paige Evans Leza
- Audrey Elizabeth Fiudo
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All providers in Warrenton, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2013. 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.