Organization
RUTH JENSEN VILLAGE RESIDENTIAL SERVICES, INC. ISL II
Active
Organization
RUTH JENSEN VILLAGE RESIDENTIAL SERVICES, INC. ISL II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA R BURT (BUSINESS MANAGER)
(573) 324-3580
Entity
Organization
Contact information
Practice address
5 INDUSTRIAL DR, BOWLING GREEN, MO 63334-2436
(573) 324-3580
(573) 324-6323
Mailing address
5 INDUSTRIAL DR, BOWLING GREEN, MO 63334-2436
(573) 324-3580
(573) 324-6323
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1422-9250
MO
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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