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Omeha House I Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hannibal, Missouri
NPI 1083204507

Omeha House I Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Hannibal, MO. Omeha House I Llc practices in Hannibal, MO. The NPI Number for Omeha House I Llc is 1083204507 and holds a License No. (Missouri).

The current practice location address for Omeha House I Llc is 500 North St, Hannibal, MO and can be reached out via phone at 573-221-9103 and via fax at 573-406-1091.

Location: 500 North St, Hannibal, MO, 63401-0387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083204507
Provider Name
Omeha House I Llc
Credential
Provider Entity Type
Organization
Address
500 North St, Hannibal, MO, 63401-0387
Phone Number
573-221-9103
Fax Number
573-406-1091
Provider Enumeration Date
01/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M267857308 05 MO
institution
Provider Business Practice Location Address Details
Address
500 North St
City
Hannibal
State
Missouri
Zip
63401-3333
Phone Number
573-221-9103
Fax Number
573-406-1091
person
Provider Business Mailing Address Details
Address
500 North St
City
Hannibal
State
Missouri
Zip
63401-3333
Phone Number
573-221-9103
Fax Number
573-406-1091
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
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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