The Shade Tree LLC

Custodial Care Facility · Marshall, MO

Organization Active NPI

NPI number 1033704754

Practice location

1325 S Highland Ct
Marshall, MO 65340-3058
Phone
(636) 358-1889

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NPI record

NPI
1033704754
Entity type
Organization (Type 2)
Enumeration date
March 4, 2021
Last updated
March 4, 2021
Certified
March 4, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Custodial Care Facility Primary 311Z00000X — —

Mailing address

PO Box 4
Arrow Rock, MO 65320-0004

Authorized official

Name
Kahla Burge, RN BSN
Title
Owner
Phone
(636) 358-1889

Other names

  • The Shade Tree

About The Shade Tree LLC

The Shade Tree LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Custodial Care Facility (code 311Z00000X). The practice location is 1325 S Highland Ct, Marshall, MO 65340-3058. The NPI number 1033704754 was assigned on March 4, 2021 and the record was last updated on March 4, 2021.

The authorized official for this organization is Kahla Burge, RN BSN, Owner.

Frequently asked questions

What is the NPI number of The Shade Tree LLC?

The NPI number is 1033704754.

What is the phone number of The Shade Tree LLC?

The phone number listed for the practice location is (636) 358-1889.

Where is The Shade Tree LLC located?

1325 S Highland Ct, Marshall, MO 65340-3058.

What is the taxonomy code for The Shade Tree LLC?

The primary taxonomy code is 311Z00000X – Custodial Care Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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