Organization
RINEY-WALDEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD W WALDEN (CEO)
(573) 221-3356
Entity
Organization
Contact information
Practice address
56340 JANAPAS TRL, HANNIBAL, MO 63401-7673
(573) 221-3356
(573) 221-3356
Mailing address
PO BOX 1536, HANNIBAL, MO 63401-1536
(573) 221-3356
(573) 221-3356
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856886007
—
MO
Enumeration date
03/29/2007
Last updated
06/17/2008
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