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Pulaski County Group Home
Respite Care in Crocker, Missouri
NPI 1356462022

Pulaski County Group Home is a Respite Care based in Crocker, MO. Pulaski County Group Home practices in Crocker, MO. The NPI Number for Pulaski County Group Home is 1356462022 and holds a License No. (Missouri).

The current practice location address for Pulaski County Group Home is 307 Keeth Road, Crocker, MO and can be reached out via phone at 573-736-5603 and via fax at 573-736-2771.

Location: 307 Keeth Road, Crocker, MO, 65452-0662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356462022
Provider Name
Pulaski County Group Home
Credential
Provider Entity Type
Organization
Address
307 Keeth Road, Crocker, MO, 65452-0662
Phone Number
573-736-5603
Fax Number
573-736-2771
Provider Enumeration Date
04/02/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
853890804 05 MO
institution
Provider Business Practice Location Address Details
Address
307 Keeth Road
City
Crocker
State
Missouri
Zip
65452
Phone Number
573-736-5603
Fax Number
573-736-2771
person
Provider Business Mailing Address Details
Address
307 Keeth Road
City
Crocker
State
Missouri
Zip
65452
Phone Number
573-736-5603
Fax Number
573-736-2771
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
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.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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