institution
Jackson Group Home Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hannibal, Missouri
NPI 1487890786

Jackson Group Home Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Hannibal, MO. Jackson Group Home Llc practices in Hannibal, MO. The NPI Number for Jackson Group Home Llc is 1487890786 and holds a License No. (Missouri).

The current practice location address for Jackson Group Home Llc is 18 Ridgewood Dr, Hannibal, MO and can be reached out via phone at 573-221-4671 and via fax at 573-221-4671. You can also correspond with Jackson Group Home Llc through the mailing address at 18 RIDGEWOOD DR, HANNIBAL, MO - 63401-3056 (mailing address contact number: 573-221-4671).

Location: 18 Ridgewood Dr, Hannibal, MO, 63401-3056
institution
Provider Profile Details
NPI Number
1487890786
Provider Name
Jackson Group Home Llc
Credential
Provider Entity Type
Organization
Address
18 Ridgewood Dr, Hannibal, MO, 63401-3056
Phone Number
573-221-4671
Fax Number
573-221-4671
Provider Enumeration Date
12/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18 Ridgewood Dr
City
State
Zip
63401-3056
Phone Number
573-221-4671
Fax Number
573-221-4671
person
Provider Business Mailing Address Details
Address
18 Ridgewood Dr
City
State
Zip
63401-3056
Phone Number
573-221-4671
Fax Number
573-221-4671
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
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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