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Woodhaven
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, Missouri
NPI 1629292644

Woodhaven is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Columbia, MO. Woodhaven practices in Columbia, MO. The NPI Number for Woodhaven is 1629292644 and holds a License No. (Missouri).

The current practice location address for Woodhaven is 1405 Hathman Pl, Columbia, MO and can be reached out via phone at 573-876-7302.

Location: 1405 Hathman Pl, Columbia, MO, 65201-5552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629292644
Provider Name
Woodhaven
Credential
Provider Entity Type
Organization
Address
1405 Hathman Pl, Columbia, MO, 65201-5552
Phone Number
573-876-7302
Fax Number
Provider Enumeration Date
04/12/2007
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
1405 Hathman Pl
City
Columbia
State
Missouri
Zip
65201-5552
Phone Number
573-876-7302
Fax Number
person
Provider Business Mailing Address Details
Address
1405 Hathman Pl
City
Columbia
State
Missouri
Zip
65201-5552
Phone Number
573-876-7302
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
(Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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