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Jefferson Manor
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cape Girardeau, Missouri
NPI 1417340357

Jefferson Manor is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Cape Girardeau, MO. Jefferson Manor practices in Cape Girardeau, MO. The NPI Number for Jefferson Manor is 1417340357 and holds a License No. 041432 (Missouri).

The current practice location address for Jefferson Manor is 902 Jefferson Ave, Cape Girardeau, MO and can be reached out via phone at 573-651-1373 and via fax at 573-651-1373.

Location: 902 Jefferson Ave, Cape Girardeau, MO, 63703-6755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417340357
Provider Name
Jefferson Manor
Credential
Provider Entity Type
Organization
Address
902 Jefferson Ave, Cape Girardeau, MO, 63703-6755
Phone Number
573-651-1373
Fax Number
573-651-1373
Provider Enumeration Date
03/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
902 Jefferson Ave
City
Cape Girardeau
State
Missouri
Zip
63703-6755
Phone Number
573-651-1373
Fax Number
573-651-1373
person
Provider Business Mailing Address Details
Address
902 Jefferson Ave
City
Cape Girardeau
State
Missouri
Zip
63703-6755
Phone Number
573-651-1373
Fax Number
573-651-1373
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
041432 (Missouri)
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.
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