Provider Demographics
NPI:1285073411
Name:MORNING SONG ISL SERVICES LLC
Entity type:Organization
Organization Name:MORNING SONG ISL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LANGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-378-2462
Mailing Address - Street 1:506 BREMOND ST
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:MO
Mailing Address - Zip Code:65084-1122
Mailing Address - Country:US
Mailing Address - Phone:573-378-2462
Mailing Address - Fax:573-378-6666
Practice Address - Street 1:506 BREMOND ST
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:MO
Practice Address - Zip Code:65084-1122
Practice Address - Country:US
Practice Address - Phone:573-378-2462
Practice Address - Fax:573-378-6666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-20
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities