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Son Shine Home Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Poplar Bluff, Missouri
NPI 1114064508

Son Shine Home Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Poplar Bluff, MO. Son Shine Home Inc practices in Poplar Bluff, MO. The NPI Number for Son Shine Home Inc is 1114064508 and holds a License No. 14308791 (Missouri).

The current practice location address for Son Shine Home Inc is 2056 Hwy Aa, Poplar Bluff, MO and can be reached out via phone at 573-785-0482 and via fax at 573-776-7278.

Location: 2056 Hwy Aa, Poplar Bluff, MO, 63901-3789
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114064508
Provider Name
Son Shine Home Inc
Credential
Provider Entity Type
Organization
Address
2056 Hwy Aa, Poplar Bluff, MO, 63901-3789
Phone Number
573-785-0482
Fax Number
573-776-7278
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2056 Hwy Aa
City
Poplar Bluff
State
Missouri
Zip
63901-3789
Phone Number
573-785-0482
Fax Number
573-776-7278
person
Provider Business Mailing Address Details
Address
2056 Hwy Aa
City
Poplar Bluff
State
Missouri
Zip
63901-3789
Phone Number
573-785-0482
Fax Number
573-776-7278
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
14308791 (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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