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Miss Betty Ann Cagle
Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Madrid, Missouri
NPI 1043467285

Betty Ann Cagle is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in New Madrid, MO. Betty Ann Cagle practices in New Madrid, MO. The NPI Number for Betty Ann Cagle is 1043467285 and holds a License No. 2606 10125 (Missouri).

The current practice location address for Betty Ann Cagle is 131 St. Thomas Lane, New Madrid, MO and can be reached out via phone at 573-748-9438.

Location: 131 St. Thomas Lane, New Madrid, MO, 63869
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043467285
Provider Name
Betty Ann Cagle
Credential
Provider Entity Type
Individual
Gender
Female
Address
131 St. Thomas Lane, New Madrid, MO, 63869
Phone Number
573-748-9438
Fax Number
Provider Enumeration Date
08/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
131 St. Thomas Lane
City
New Madrid
State
Missouri
Zip
63869
Phone Number
573-748-9438
Fax Number
person
Provider Business Mailing Address Details
Address
131 St. Thomas Lane
City
New Madrid
State
Missouri
Zip
63869
Phone Number
573-748-9438
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
2606 10125 (Missouri)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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