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Procare Isl, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Overland, Missouri
NPI 1598323115

Procare Isl, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Overland, MO. Procare Isl, Llc practices in Overland, MO. The NPI Number for Procare Isl, Llc is 1598323115 and holds a License No. (Missouri).

The current practice location address for Procare Isl, Llc is 2040 Woodson Rd Ste 203B, Overland, MO and can be reached out via phone at 314-755-1444 and via fax at 314-755-1446.

Location: 2040 Woodson Rd Ste 203B, Overland, MO, 63114-5606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598323115
Provider Name
Procare Isl, Llc
Credential
Provider Entity Type
Organization
Address
2040 Woodson Rd Ste 203B, Overland, MO, 63114-5606
Phone Number
314-755-1444
Fax Number
314-755-1446
Provider Enumeration Date
05/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2040 Woodson Rd Ste 203B
City
Overland
State
Missouri
Zip
63114-5606
Phone Number
314-755-1444
Fax Number
314-755-1446
person
Provider Business Mailing Address Details
Address
2040 Woodson Rd Ste 203B
City
Overland
State
Missouri
Zip
63114-5606
Phone Number
314-755-1444
Fax Number
314-755-1446
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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