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Ms. Linda K Roark
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Sedalia, Missouri
NPI 1154747251

Linda K Roark is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Sedalia, MO. Linda K Roark practices in Sedalia, MO. The NPI Number for Linda K Roark is 1154747251 and holds a License No. CC1-0207-0413 (Missouri).

The current practice location address for Linda K Roark is 219 W 24Th St, Sedalia, MO and can be reached out via phone at 660-826-0244.

Location: 219 W 24Th St, Sedalia, MO, 65301-0561
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154747251
Provider Name
Linda K Roark
Credential
Provider Entity Type
Individual
Gender
Female
Address
219 W 24Th St, Sedalia, MO, 65301-0561
Phone Number
660-826-0244
Fax Number
Provider Enumeration Date
03/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
852752203 05 MO
institution
Provider Business Practice Location Address Details
Address
219 W 24Th St
City
Sedalia
State
Missouri
Zip
65301-8303
Phone Number
660-826-0244
Fax Number
person
Provider Business Mailing Address Details
Address
219 W 24Th St
City
Sedalia
State
Missouri
Zip
65301-8303
Phone Number
660-826-0244
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.
CC1-0207-0413 (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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