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Board Of Expanded Services
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Carrollton, Missouri
NPI 1679602049

Board Of Expanded Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Carrollton, MO. Board Of Expanded Services practices in Carrollton, MO. The NPI Number for Board Of Expanded Services is 1679602049 and holds a License No. 852991900 (Missouri).

The current practice location address for Board Of Expanded Services is 1410 N Main St, Carrollton, MO and can be reached out via phone at 660-542-1401.

Location: 1410 N Main St, Carrollton, MO, 64633-0455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679602049
Provider Name
Board Of Expanded Services
Credential
Provider Entity Type
Organization
Address
1410 N Main St, Carrollton, MO, 64633-0455
Phone Number
660-542-1401
Fax Number
Provider Enumeration Date
03/03/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
852991900 05 MO
institution
Provider Business Practice Location Address Details
Address
1410 N Main St
City
Carrollton
State
Missouri
Zip
64633-1933
Phone Number
660-542-1401
Fax Number
person
Provider Business Mailing Address Details
Address
1410 N Main St
City
Carrollton
State
Missouri
Zip
64633-1933
Phone Number
660-542-1401
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
852991900 (Missouri)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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.
852991900 (Missouri)
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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