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Effie Shurtz Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in East Prairie, Missouri
NPI 1174733174

Effie Shurtz Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in East Prairie, MO. Effie Shurtz Home practices in East Prairie, MO. The NPI Number for Effie Shurtz Home is 1174733174 and holds a License No. (Missouri).

The current practice location address for Effie Shurtz Home is 22 Margaret St, East Prairie, MO and can be reached out via phone at 573-649-5054.

Location: 22 Margaret St, East Prairie, MO, 63845-9195
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174733174
Provider Name
Effie Shurtz Home
Credential
Provider Entity Type
Organization
Address
22 Margaret St, East Prairie, MO, 63845-9195
Phone Number
573-649-5054
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
263722001 05 MO
institution
Provider Business Practice Location Address Details
Address
22 Margaret St
City
East Prairie
State
Missouri
Zip
63845-9195
Phone Number
573-649-5054
Fax Number
person
Provider Business Mailing Address Details
Address
22 Margaret St
City
East Prairie
State
Missouri
Zip
63845-9195
Phone Number
573-649-5054
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.
()
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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