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Dr. Inn T Park, MD
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nevada, Missouri
NPI 1588713853

Inn T Park is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Nevada, MO. Inn T Park practices in Nevada, MO and has the professional credentials of MD. The NPI Number for Inn T Park is 1588713853 and holds a License No. R2A60 (Missouri).

The current practice location address for Inn T Park is 2323 N Ash St, Nevada, MO and can be reached out via phone at 417-667-7833.

Location: 2323 N Ash St, Nevada, MO, 64772-9773
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Provider Profile Details
NPI Number
1588713853
Provider Name
Inn T Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2323 N Ash St, Nevada, MO, 64772-9773
Phone Number
417-667-7833
Fax Number
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2323 N Ash St
City
State
Zip
64772-1054
Phone Number
417-667-7833
Fax Number
person
Provider Business Mailing Address Details
Address
2323 N Ash St
City
State
Zip
64772-1054
Phone Number
417-667-7833
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
License No.
R2A60 (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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