institution
Jesse R. Kirchhoff
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jefferson City, Missouri
NPI 1629468558

Jesse R. Kirchhoff is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jefferson City, MO. Jesse R. Kirchhoff practices in Jefferson City, MO. The NPI Number for Jesse R. Kirchhoff is 1629468558 and holds a License No. (Missouri).

The current practice location address for Jesse R. Kirchhoff is 113 Jaycee Dr, Jefferson City, MO and can be reached out via phone at 573-635-2708 and via fax at 866-468-2970. You can also correspond with Jesse R. Kirchhoff through the mailing address at 113 JAYCEE DR, JEFFERSON CITY, MO - 65109-1094 (mailing address contact number: 573-635-2708).

Location: 113 Jaycee Dr, Jefferson City, MO, 65109-1094
institution
Provider Profile Details
NPI Number
1629468558
Provider Name
Jesse R. Kirchhoff
Credential
Provider Entity Type
Organization
Address
113 Jaycee Dr, Jefferson City, MO, 65109-1094
Phone Number
573-635-2708
Fax Number
866-468-2970
Provider Enumeration Date
01/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
113 Jaycee Dr
City
State
Zip
65109-1094
Phone Number
573-635-2708
Fax Number
866-468-2970
person
Provider Business Mailing Address Details
Address
113 Jaycee Dr
City
State
Zip
65109-1094
Phone Number
573-635-2708
Fax Number
866-468-2970
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.
()
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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