| NPI | 1982804324 |
|---|---|
| Doing Business As | MY HOME |
| Entity Type | Organization |
| Authorized Contact | PATRICIA ROSE CAMPBELL Owner 573-778-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-09-07 |