| NPI | 1699808766 |
|---|---|
| Doing Business As | DBA MCWILLIAMS MANOR ISL |
| Entity Type | Organization |
| Authorized Contact | PATRICIA L WESTOVER-MCWILLIAMS Owner 573-727-9760 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MO 8001561) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2017-02-17 |