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First Serve Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bolivar, Missouri
NPI 1063763407

First Serve Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Bolivar, MO. First Serve Llc practices in Bolivar, MO. The NPI Number for First Serve Llc is 1063763407 and holds a License No. (Missouri).

The current practice location address for First Serve Llc is 115 E Maupin St, Bolivar, MO and can be reached out via phone at 417-326-2272 and via fax at 417-326-2278.

Location: 115 E Maupin St, Bolivar, MO, 65613-2127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063763407
Provider Name
First Serve Llc
Credential
Provider Entity Type
Organization
Address
115 E Maupin St, Bolivar, MO, 65613-2127
Phone Number
417-326-2272
Fax Number
417-326-2278
Provider Enumeration Date
09/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
115 E Maupin St
City
Bolivar
State
Missouri
Zip
65613-2127
Phone Number
417-326-2272
Fax Number
417-326-2278
person
Provider Business Mailing Address Details
Address
115 E Maupin St
City
Bolivar
State
Missouri
Zip
65613-2127
Phone Number
417-326-2272
Fax Number
417-326-2278
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
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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