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Mrs. Holly Ann Dewick
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Birch Tree, Missouri
NPI 1033400304

Holly Ann Dewick is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Birch Tree, MO. Holly Ann Dewick practices in Birch Tree, MO. The NPI Number for Holly Ann Dewick is 1033400304 and holds a License No. (Missouri).

The current practice location address for Holly Ann Dewick is Rr 2 Box 2430B, Birch Tree, MO and can be reached out via phone at 573-292-1222.

Location: Rr 2 Box 2430B, Birch Tree, MO, 65438-9222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033400304
Provider Name
Holly Ann Dewick
Credential
Provider Entity Type
Individual
Gender
Female
Address
Rr 2 Box 2430B, Birch Tree, MO, 65438-9222
Phone Number
573-292-1222
Fax Number
Provider Enumeration Date
04/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Rr 2 Box 2430B
City
Birch Tree
State
Missouri
Zip
65438-9222
Phone Number
573-292-1222
Fax Number
person
Provider Business Mailing Address Details
Address
Rr 2 Box 2430B
City
Birch Tree
State
Missouri
Zip
65438-9222
Phone Number
573-292-1222
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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