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Christine Lynn Bohannon
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Adrian, Missouri
NPI 1124162227

Christine Lynn Bohannon is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Adrian, MO. Christine Lynn Bohannon practices in Adrian, MO. The NPI Number for Christine Lynn Bohannon is 1124162227 and holds a License No. (Missouri).

The current practice location address for Christine Lynn Bohannon is Box 64 303 W Main St, Adrian, MO and can be reached out via phone at 816-805-2980.

Location: Box 64 303 W Main St, Adrian, MO, 64720-9217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124162227
Provider Name
Christine Lynn Bohannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
Box 64 303 W Main St, Adrian, MO, 64720-9217
Phone Number
816-805-2980
Fax Number
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
Box 64 303 W Main St
City
Adrian
State
Missouri
Zip
64720-9217
Phone Number
816-805-2980
Fax Number
person
Provider Business Mailing Address Details
Address
Box 64 303 W Main St
City
Adrian
State
Missouri
Zip
64720-9217
Phone Number
816-805-2980
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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