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Boone Supported Living, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hannibal, Missouri
NPI 1568680403

Boone Supported Living, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Hannibal, MO. Boone Supported Living, Llc practices in Hannibal, MO. The NPI Number for Boone Supported Living, Llc is 1568680403 and holds a License No. (Missouri).

The current practice location address for Boone Supported Living, Llc is 5 Marsh Cir, Hannibal, MO and can be reached out via phone at 573-406-8010.

Location: 5 Marsh Cir, Hannibal, MO, 63401-2479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568680403
Provider Name
Boone Supported Living, Llc
Credential
Provider Entity Type
Organization
Address
5 Marsh Cir, Hannibal, MO, 63401-2479
Phone Number
573-406-8010
Fax Number
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5 Marsh Cir
City
Hannibal
State
Missouri
Zip
63401-2479
Phone Number
573-406-8010
Fax Number
person
Provider Business Mailing Address Details
Address
5 Marsh Cir
City
Hannibal
State
Missouri
Zip
63401-2479
Phone Number
573-406-8010
Fax Number
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.
()
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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