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Second Chance Homes Of Fulton Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fulton, Missouri
NPI 1366561342

Second Chance Homes Of Fulton Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fulton, MO. Second Chance Homes Of Fulton Llc practices in Fulton, MO. The NPI Number for Second Chance Homes Of Fulton Llc is 1366561342 and holds a License No. (Missouri).

The current practice location address for Second Chance Homes Of Fulton Llc is 298 Claymine Drive, Fulton, MO and can be reached out via phone at 573-353-1137.

Location: 298 Claymine Drive, Fulton, MO, 65251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366561342
Provider Name
Second Chance Homes Of Fulton Llc
Credential
Provider Entity Type
Organization
Address
298 Claymine Drive, Fulton, MO, 65251
Phone Number
573-353-1137
Fax Number
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
856216809 05 MO
institution
Provider Business Practice Location Address Details
Address
298 Claymine Drive
City
Fulton
State
Missouri
Zip
65251
Phone Number
573-353-1137
Fax Number
person
Provider Business Mailing Address Details
Address
298 Claymine Drive
City
Fulton
State
Missouri
Zip
65251
Phone Number
573-353-1137
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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