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Lacey Ann Skelton, LEVEL1MEDAIDE
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Eminence, Missouri
NPI 1457027419

Lacey Ann Skelton is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Eminence, MO. Lacey Ann Skelton practices in Eminence, MO and has the professional credentials of LEVEL1MEDAIDE. The NPI Number for Lacey Ann Skelton is 1457027419 and holds a License No. 049124 (Missouri).

The current practice location address for Lacey Ann Skelton is 18941 Cr 305A, Eminence, MO and can be reached out via phone at 573-226-5426 and via fax at 573-226-5426.

Location: 18941 Cr 305A, Eminence, MO, 65466-6268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457027419
Provider Name
Lacey Ann Skelton
Credential
LEVEL1MEDAIDE
Provider Entity Type
Individual
Gender
Female
Address
18941 Cr 305A, Eminence, MO, 65466-6268
Phone Number
573-226-5426
Fax Number
573-226-5426
Provider Enumeration Date
08/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84-1730316 05 MO
institution
Provider Business Practice Location Address Details
Address
18941 Cr 305A
City
Eminence
State
Missouri
Zip
65466-6268
Phone Number
573-226-5426
Fax Number
573-226-5426
person
Provider Business Mailing Address Details
Address
18941 Cr 305A
City
Eminence
State
Missouri
Zip
65466-6268
Phone Number
573-226-5426
Fax Number
573-226-5426
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.
049124 (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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