institution
Home Care Isl, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fredericktown, Missouri
NPI 1164799417

Home Care Isl, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fredericktown, MO. Home Care Isl, Llc practices in Fredericktown, MO. The NPI Number for Home Care Isl, Llc is 1164799417 and holds a License No. (Missouri).

The current practice location address for Home Care Isl, Llc is 1018 Johnson Street, Fredericktown, MO and can be reached out via phone at 573-631-1456.

Location: 1018 Johnson Street, Fredericktown, MO, 63645-0467
institution
Provider Profile Details
NPI Number
1164799417
Provider Name
Home Care Isl, Llc
Credential
Provider Entity Type
Organization
Address
1018 Johnson Street, Fredericktown, MO, 63645-0467
Phone Number
573-631-1456
Fax Number
Provider Enumeration Date
11/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1018 Johnson Street
City
State
Zip
63645-0467
Phone Number
573-631-1456
Fax Number
person
Provider Business Mailing Address Details
Address
1018 Johnson Street
City
State
Zip
63645-0467
Phone Number
573-631-1456
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.
(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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