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Angela D Ginn
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Moberly, Missouri
NPI 1265587562

Angela D Ginn is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Moberly, MO. Angela D Ginn practices in Moberly, MO. The NPI Number for Angela D Ginn is 1265587562 and holds a License No. (Missouri).

The current practice location address for Angela D Ginn is 709 W Rollins St, Moberly, MO and can be reached out via phone at 660-263-7030 and via fax at 660-263-7030.

Location: 709 W Rollins St, Moberly, MO, 65270-1358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265587562
Provider Name
Angela D Ginn
Credential
Provider Entity Type
Organization
Address
709 W Rollins St, Moberly, MO, 65270-1358
Phone Number
660-263-7030
Fax Number
660-263-7030
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
709 W Rollins St
City
Moberly
State
Missouri
Zip
65270-1358
Phone Number
660-263-7030
Fax Number
660-263-7030
person
Provider Business Mailing Address Details
Address
709 W Rollins St
City
Moberly
State
Missouri
Zip
65270-1358
Phone Number
660-263-7030
Fax Number
660-263-7030
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.
(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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