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Mr. Eric Vahle
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, Missouri
NPI 1124561907

Eric Vahle is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Columbia, MO. Eric Vahle practices in Columbia, MO. The NPI Number for Eric Vahle is 1124561907 and holds a License No. (Missouri).

The current practice location address for Eric Vahle is 3611 Wakefield Dr, Columbia, MO and can be reached out via phone at 573-881-9624.

Location: 3611 Wakefield Dr, Columbia, MO, 65203-4462
person
Provider Profile Details
NPI Number
1124561907
Provider Name
Eric Vahle
Credential
Provider Entity Type
Individual
Gender
Male
Address
3611 Wakefield Dr, Columbia, MO, 65203-4462
Phone Number
573-881-9624
Fax Number
Provider Enumeration Date
11/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3611 Wakefield Dr
City
State
Zip
65203-4462
Phone Number
573-881-9624
Fax Number
person
Provider Business Mailing Address Details
Address
3611 Wakefield Dr
City
State
Zip
65203-4462
Phone Number
573-881-9624
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
License No.
()
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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