Organization Name: | SUNNY MEADOWS LIVING CENTER |
NPI Number: | 1235308602 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MANDY ELAINE STUCKEY (OWNER/ADMINISTATOR) |
Mailing Address: | 419 N Prospect Ave Sedalia |
State: | MO US |
Postal Code: | 653012729 |
Phone Number: | 6608265353 |
Fax Number: | 6608265780 |
NPI Enumeration Date: | 02/29/2008 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 035165 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |