Organization
ELLENDEL ISL LLC
Active
Other names
Ellendel ISL
Organization subpart
No
Provider details
NPI number
Authorized official
RHODA ELLEN TOMICH (OWNER/MANAGER)
(660) 627-4101
Entity
Organization
Contact information
Practice address
1108 E PATTERSON, SUITE 9, KIRKSVILLE, MO 63501
(660) 627-4101
(660) 665-0185
Mailing address
701 S JAMISON, KIRKSVILLE, MO 63501
(660) 627-4101
(660) 665-0185
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
11/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us