Provider Demographics
NPI:1912462037
Name:DUNN-DUNN HOUSE LLC
Entity Type:Organization
Organization Name:DUNN-DUNN HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAVERNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-869-2431
Mailing Address - Street 1:2133 JANNETTE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-4020
Mailing Address - Country:US
Mailing Address - Phone:314-869-2431
Mailing Address - Fax:314-869-7044
Practice Address - Street 1:2133 JANNETTE DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-4020
Practice Address - Country:US
Practice Address - Phone:314-869-2431
Practice Address - Fax:314-869-7044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-02
Last Update Date:2019-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility