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Hollis Haven Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West Plains, Missouri
NPI 1669776852

Hollis Haven Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in West Plains, MO. Hollis Haven Llc practices in West Plains, MO. The NPI Number for Hollis Haven Llc is 1669776852 and holds a License No. (Missouri).

The current practice location address for Hollis Haven Llc is 8046 County Road 3010, West Plains, MO and can be reached out via phone at 417-274-3730 and via fax at 417-255-0574.

Location: 8046 County Road 3010, West Plains, MO, 65775-4949
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669776852
Provider Name
Hollis Haven Llc
Credential
Provider Entity Type
Organization
Address
8046 County Road 3010, West Plains, MO, 65775-4949
Phone Number
417-274-3730
Fax Number
417-255-0574
Provider Enumeration Date
01/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8046 County Road 3010
City
West Plains
State
Missouri
Zip
65775-4949
Phone Number
417-274-3730
Fax Number
417-255-0574
person
Provider Business Mailing Address Details
Address
8046 County Road 3010
City
West Plains
State
Missouri
Zip
65775-4949
Phone Number
417-274-3730
Fax Number
417-255-0574
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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