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Phillip Brown
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hazelwood, Missouri
NPI 1164045068

Phillip Brown is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Hazelwood, MO. Phillip Brown practices in Hazelwood, MO. The NPI Number for Phillip Brown is 1164045068 and holds a License No. (Missouri).

The current practice location address for Phillip Brown is 4954 Hurstborough Ct, Hazelwood, MO and can be reached out via phone at 314-566-8301.

Location: 4954 Hurstborough Ct, Hazelwood, MO, 63042-1592
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164045068
Provider Name
Phillip Brown
Credential
Provider Entity Type
Individual
Gender
Male
Address
4954 Hurstborough Ct, Hazelwood, MO, 63042-1592
Phone Number
314-566-8301
Fax Number
Provider Enumeration Date
05/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4954 Hurstborough Ct
City
Hazelwood
State
Missouri
Zip
63042-1592
Phone Number
314-566-8301
Fax Number
person
Provider Business Mailing Address Details
Address
4954 Hurstborough Ct
City
Hazelwood
State
Missouri
Zip
63042-1592
Phone Number
314-566-8301
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
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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