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Green Maxville Supportive Living Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, Missouri
NPI 1235511692

Green Maxville Supportive Living Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Collinsville, MO. Green Maxville Supportive Living Llc practices in Columbia, MO. The NPI Number for Green Maxville Supportive Living Llc is 1235511692 and holds a License No. (Missouri).

The current practice location address for Green Maxville Supportive Living Llc is 101 E Alhambra Dr, Columbia, MO and can be reached out via phone at 573-864-9743 and via fax at 573-874-1723. You can also correspond with Green Maxville Supportive Living Llc through the mailing address at 5900 GALLI LN, COLLINSVILLE, IL - 62234-5836 (mailing address contact number: 573-864-9743).

Location: 101 E Alhambra Dr, Columbia, MO, 62234-5836
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235511692
Provider Name
Green Maxville Supportive Living Llc
Credential
Provider Entity Type
Organization
Address
101 E Alhambra Dr, Columbia, MO, 62234-5836
Phone Number
573-864-9743
Fax Number
573-874-1723
Provider Enumeration Date
06/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 E Alhambra Dr
City
Columbia
State
Missouri
Zip
65203-3763
Phone Number
573-864-9743
Fax Number
573-874-1723
person
Provider Business Mailing Address Details
Address
5900 Galli Ln
City
Collinsville
State
Illinois
Zip
62234-5836
Phone Number
573-864-9743
Fax Number
573-874-1713
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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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