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Citadel Association, Inc.
Respite Care in Potosi, Missouri
NPI 1518091354

Citadel Association, Inc. is a Respite Care based in Potosi, MO. Citadel Association, Inc. practices in Potosi, MO. The NPI Number for Citadel Association, Inc. is 1518091354 and holds a License No. 1799-330 (Missouri).

The current practice location address for Citadel Association, Inc. is 217 E Citadel Dr, Potosi, MO and can be reached out via phone at 573-438-3736 and via fax at 573-436-9200.

Location: 217 E Citadel Dr, Potosi, MO, 63664-1937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518091354
Provider Name
Citadel Association, Inc.
Credential
Provider Entity Type
Organization
Address
217 E Citadel Dr, Potosi, MO, 63664-1937
Phone Number
573-438-3736
Fax Number
573-436-9200
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85140106 05 MO
institution
Provider Business Practice Location Address Details
Address
217 E Citadel Dr
City
Potosi
State
Missouri
Zip
63664-1937
Phone Number
573-438-3736
Fax Number
573-436-9200
person
Provider Business Mailing Address Details
Address
217 E Citadel Dr
City
Potosi
State
Missouri
Zip
63664-1937
Phone Number
573-438-3736
Fax Number
573-436-9200
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.
1799-330 (Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
1799-330 (Missouri)
Definition
Definition to come.
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