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Lettuce Dream
Private Vehicle in Maryville, Missouri
NPI 1093221749

Lettuce Dream is a Private Vehicle based in Maryville, MO. Lettuce Dream practices in Maryville, MO. The NPI Number for Lettuce Dream is 1093221749 and holds a License No. (Missouri).

The current practice location address for Lettuce Dream is 1623 E 2Nd St, Maryville, MO and can be reached out via phone at 660-224-2203 and via fax at 660-224-2203.

Location: 1623 E 2Nd St, Maryville, MO, 64468-0272
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093221749
Provider Name
Lettuce Dream
Credential
Provider Entity Type
Organization
Address
1623 E 2Nd St, Maryville, MO, 64468-0272
Phone Number
660-224-2203
Fax Number
660-224-2203
Provider Enumeration Date
12/18/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1623 E 2Nd St
City
Maryville
State
Missouri
Zip
64468-1959
Phone Number
660-224-2203
Fax Number
660-224-2203
person
Provider Business Mailing Address Details
Address
1623 E 2Nd St
City
Maryville
State
Missouri
Zip
64468-1959
Phone Number
660-224-2203
Fax Number
660-224-2203
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
(Missouri)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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