institution
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. You can also correspond with Jefferson Manor through the mailing address at 902 JEFFERSON AVE, CAPE GIRARDEAU, MO - 63703-6755 (mailing address contact number: 573-651-1373).

Location: 902 Jefferson Ave, Cape Girardeau, MO, 63703-6755
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
State
Zip
63703-6755
Phone Number
573-651-1373
Fax Number
573-651-1373
person
Provider Business Mailing Address Details
Address
902 Jefferson Ave
City
State
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
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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