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Pony Bird Incorporated
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Mapaville, Missouri
NPI 1114044815

Pony Bird Incorporated is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Mapaville, MO. Pony Bird Incorporated practices in Mapaville, MO. The NPI Number for Pony Bird Incorporated is 1114044815 and holds a License No. 1351-8421 (Missouri).

The current practice location address for Pony Bird Incorporated is #1 Pony Bird Lane, Mapaville, MO and can be reached out via phone at 636-931-5818 and via fax at 636-931-3518.

Location: #1 Pony Bird Lane, Mapaville, MO, 63065-0190
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114044815
Provider Name
Pony Bird Incorporated
Credential
Provider Entity Type
Organization
Address
#1 Pony Bird Lane, Mapaville, MO, 63065-0190
Phone Number
636-931-5818
Fax Number
636-931-3518
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
#1 Pony Bird Lane
City
Mapaville
State
Missouri
Zip
63065-0190
Phone Number
636-931-5818
Fax Number
636-931-3518
person
Provider Business Mailing Address Details
Address
#1 Pony Bird Lane
City
Mapaville
State
Missouri
Zip
63065-0190
Phone Number
636-931-5818
Fax Number
636-931-3518
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
1351-8421 (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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