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Mrs. Mary Jane Patterson
Child Intellectual and/or Developmental Disabilities Respite Care in Qulin, Missouri
NPI 1265566020

Mary Jane Patterson is a Child Intellectual and/or Developmental Disabilities Respite Care based in Qulin, MO and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Mary Jane Patterson practices in Qulin, MO. The NPI Number for Mary Jane Patterson is 1265566020 and holds a License No. (Missouri).

The current practice location address for Mary Jane Patterson is 12948 Highway 53, Qulin, MO and can be reached out via phone at 573-328-4026 and via fax at 573-328-4883.

Location: 12948 Highway 53, Qulin, MO, 63961-8260
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265566020
Provider Name
Mary Jane Patterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
12948 Highway 53, Qulin, MO, 63961-8260
Phone Number
573-328-4026
Fax Number
573-328-4883
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12948 Highway 53
City
Qulin
State
Missouri
Zip
63961-8260
Phone Number
573-328-4026
Fax Number
573-328-4883
person
Provider Business Mailing Address Details
Address
12948 Highway 53
City
Qulin
State
Missouri
Zip
63961-8260
Phone Number
573-328-4026
Fax Number
573-328-4883
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
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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