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Cotoneaster Incorporated
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Caruthersville, Missouri
NPI 1609076850

Cotoneaster Incorporated is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Caruthersville, MO. Cotoneaster Incorporated practices in Caruthersville, MO. The NPI Number for Cotoneaster Incorporated is 1609076850 and holds a License No. (Missouri).

The current practice location address for Cotoneaster Incorporated is 509 Ward Ave, Caruthersville, MO and can be reached out via phone at 573-333-5777.

Location: 509 Ward Ave, Caruthersville, MO, 63830-1661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609076850
Provider Name
Cotoneaster Incorporated
Credential
Provider Entity Type
Organization
Address
509 Ward Ave, Caruthersville, MO, 63830-1661
Phone Number
573-333-5777
Fax Number
Provider Enumeration Date
07/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
509 Ward Ave
City
Caruthersville
State
Missouri
Zip
63830-1661
Phone Number
573-333-5777
Fax Number
person
Provider Business Mailing Address Details
Address
509 Ward Ave
City
Caruthersville
State
Missouri
Zip
63830-1661
Phone Number
573-333-5777
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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