Provider Demographics
NPI:1215053137
Name:SEVEN SPRINGS
Entity type:Organization
Organization Name:SEVEN SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUELLEN
Authorized Official - Middle Name:ADAMS
Authorized Official - Last Name:TOMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-998-2506
Mailing Address - Street 1:5006 HIGHWAY O
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63967-9106
Mailing Address - Country:US
Mailing Address - Phone:573-998-2506
Mailing Address - Fax:
Practice Address - Street 1:5006 HIGHWAY O
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:MO
Practice Address - Zip Code:63967-9106
Practice Address - Country:US
Practice Address - Phone:573-998-2506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO5433-9493320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities