Provider Demographics
NPI:1275282204
Name:731 INVESTMENTS, LLC
Entity Type:Organization
Organization Name:731 INVESTMENTS, LLC
Other - Org Name:ENHANCED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER 731 INVESTMENTS, LLC
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:MANSFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-718-0142
Mailing Address - Street 1:143 TIMBER COVE
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901
Mailing Address - Country:US
Mailing Address - Phone:573-718-0142
Mailing Address - Fax:573-328-5040
Practice Address - Street 1:5031 LINWOOD
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901
Practice Address - Country:US
Practice Address - Phone:573-686-5219
Practice Address - Fax:573-328-5040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities