| NPI | 1699974196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN GILMORE Administrator 573-300-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2008-06-17 |