Organization
ROARK ISL
Active
Organization
ROARK ISL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA K ROARK (OWNER)
(660) 826-0244
Entity
Organization
Contact information
Practice address
219 W 24TH ST, SEDALIA, MO 65301-8303
(660) 826-0244
(660) 829-4872
Mailing address
27880 HACKBERRY DR, SEDALIA, MO 65301-0561
(660) 826-0244
(660) 829-4872
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CC1-0207-0413
MO
Other
Enumeration date
01/30/2014
Last updated
04/07/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up