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Kelley L Yeokum
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Freeman, Missouri
NPI 1104967637

Kelley L Yeokum is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Freeman, MO. Kelley L Yeokum practices in Freeman, MO. The NPI Number for Kelley L Yeokum is 1104967637 and holds a License No. 62819415 (Missouri).

The current practice location address for Kelley L Yeokum is 27421 S State Route 2, Freeman, MO and can be reached out via phone at 816-250-2398 and via fax at 816-250-2398.

Location: 27421 S State Route 2, Freeman, MO, 64746-7102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104967637
Provider Name
Kelley L Yeokum
Credential
Provider Entity Type
Organization
Address
27421 S State Route 2, Freeman, MO, 64746-7102
Phone Number
816-250-2398
Fax Number
816-250-2398
Provider Enumeration Date
02/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
27421 S State Route 2
City
Freeman
State
Missouri
Zip
64746-7102
Phone Number
816-250-2398
Fax Number
816-250-2398
person
Provider Business Mailing Address Details
Address
27421 S State Route 2
City
Freeman
State
Missouri
Zip
64746-7102
Phone Number
816-250-2398
Fax Number
816-250-2398
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
62819415 (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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