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Mrs. Alfreda Gonzalez
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in El Dorado Springs, Missouri
NPI 1164551701

Alfreda Gonzalez is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in El Dorado Springs, MO. Alfreda Gonzalez practices in El Dorado Springs, MO. The NPI Number for Alfreda Gonzalez is 1164551701 and holds a License No. 2573-9130 (Missouri).

The current practice location address for Alfreda Gonzalez is 114 W Hickory St, El Dorado Springs, MO and can be reached out via phone at 417-876-6391.

Location: 114 W Hickory St, El Dorado Springs, MO, 64744-1402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164551701
Provider Name
Alfreda Gonzalez
Credential
Provider Entity Type
Individual
Gender
Female
Address
114 W Hickory St, El Dorado Springs, MO, 64744-1402
Phone Number
417-876-6391
Fax Number
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
114 W Hickory St
City
El Dorado Springs
State
Missouri
Zip
64744-1402
Phone Number
417-876-6391
Fax Number
person
Provider Business Mailing Address Details
Address
114 W Hickory St
City
El Dorado Springs
State
Missouri
Zip
64744-1402
Phone Number
417-876-6391
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.
2573-9130 (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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