David C. Daniels - Dearborn, MO

David C. Daniels

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dearborn, Missouri

NPI 1053562595

David C. Daniels is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Dearborn, MO. David C. Daniels practices in Dearborn, MO. The NPI Number for David C. Daniels is 1053562595 and holds a License No. (Missouri).

The current practice location address for David C. Daniels is 24215 Highway Y, Dearborn, MO and can be reached out via phone at 816-992-0104.

Location: 24215 Highway Y, Dearborn, MO, 64439-9114

NPI Number

1053562595

Provider Name

David C. Daniels

Credential

Provider Entity Type

Individual

Gender

Male

Address

24215 Highway Y, Dearborn, MO, 64439-9114

Phone Number

816-992-0104

Fax Number

Provider Enumeration Date

10/02/2008

Last Update Date

03/09/2024

Address

24215 Highway Y

City

Dearborn

State

Missouri

Zip

64439-9114

Phone Number

816-992-0104

Fax Number

Address

24215 Highway Y

City

Dearborn

State

Missouri

Zip

64439-9114

Phone Number

816-992-0104

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320900000X

License No.

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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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