Healthcare Provider Details

I. General information

NPI: 1750401584
Provider Name (Legal Business Name): NUNN AND NUNN INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1544 STATE HIGHWAY 73
MACKS CREEK MO
65786-8229
US

IV. Provider business mailing address

396 N HIGH ST
URBANA MO
65767-9212
US

V. Phone/Fax

Practice location:
  • Phone: 573-363-0069
  • Fax: 573-363-0069
Mailing address:
  • Phone: 573-363-0069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. DIAN LEE NUNN
Title or Position: SECRETARY
Credential:
Phone: 573-363-0069