| NPI | 1144346164 |
|---|---|
| Former Legal Business Name | CEDAR HILLS GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | SUELLEN ADAMS TOMPKINS Owner Administrator 573-998-2506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO 6362-0494) |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MO 6362-0494) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: MO 6362-0494) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |