Provider Demographics
NPI:1508608043
Name:VOYAGE HEALTHCARE OF MALDEN LLC
Entity type:Organization
Organization Name:VOYAGE HEALTHCARE OF MALDEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-614-7472
Mailing Address - Street 1:500 BARRETT DR
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MO
Mailing Address - Zip Code:63863-1204
Mailing Address - Country:US
Mailing Address - Phone:573-276-3843
Mailing Address - Fax:573-276-3145
Practice Address - Street 1:500 BARRETT DR
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MO
Practice Address - Zip Code:63863-1204
Practice Address - Country:US
Practice Address - Phone:573-276-3843
Practice Address - Fax:573-276-3145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility