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J & J Assisted Living LLC

Organization Active NPI Assisted Living Facility (Mental Illness) · Marble Hill, MO

NPI 1982201935 · NPPES record last updated Oct 26, 2020

Key facts

NPI
1982201935
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility (Mental Illness) 3104A0625X
Legal business name
J & J ASSISTED LIVING LLC
Practice address
104 Wesbecher LN
Marble Hill, MO 63764
Phone
(573) 238-4602
Fax
(573) 238-3233
NPI assigned
Oct 2, 2020
Organization subpart
Yes
Parent organization (as reported)
J & J ASSISTED LIVING LLC

Authorized official

Name
Barbara Jean Grebing, BS
Title
Rcal Administrator/Owner
Phone
(573) 450-8047

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2129775J & J Residential Care Facility II
104 Wesbecher Lane, Marble Hill, MO 63764		Certificate of waiverApr 24, 2027

National Provider Directory

Part of
J J Assisted Living LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Yes

Addresses

Primary practice location

104 Wesbecher LN
Marble Hill, MO 63764

Mailing address

PO Box 378
Marble Hill, MO 63764-0378
Phone (573) 238-4602

Other names

  • J & J Residential Care Facility II Doing business as

Other providers in Marble Hill, MO

All providers in Marble Hill, MO · Assisted Living Facility (Mental Illness) in Missouri

Sources for this page

Verify at the official NPI Registry.