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Speak-easy, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jefferson City, Missouri
NPI 1629485156

Speak-easy, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jefferson City, MO. Speak-easy, Llc practices in Jefferson City, MO. The NPI Number for Speak-easy, Llc is 1629485156 and holds a License No. (Missouri).

The current practice location address for Speak-easy, Llc is 2725 Merchants Dr, Jefferson City, MO and can be reached out via phone at 573-680-4913. You can also correspond with Speak-easy, Llc through the mailing address at 1908 WHITNEY WOODS DR, JEFFERSON CITY, MO - 65101-2386 (mailing address contact number: 573-680-4913).

Location: 2725 Merchants Dr, Jefferson City, MO, 65101-2386
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629485156
Provider Name
Speak-easy, Llc
Credential
Provider Entity Type
Organization
Address
2725 Merchants Dr, Jefferson City, MO, 65101-2386
Phone Number
573-680-4913
Fax Number
Provider Enumeration Date
07/16/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA6098 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2725 Merchants Dr
City
Jefferson City
State
Missouri
Zip
65109-1161
Phone Number
573-680-4913
Fax Number
person
Provider Business Mailing Address Details
Address
1908 Whitney Woods Dr
City
Jefferson City
State
Missouri
Zip
65101-2386
Phone Number
573-680-4913
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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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